Joel A Black Jr Dds Pa

LBN: Joel A Black Jr Dds Pa
Joel A Black Jr Dds Pa is an health care organization with primary practice located at 3314 Healy Dr Suite 104, Winston-Salem NC 27103-1408. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Joel A Black Jr Dds Pa can be contacted via phone (336) 765-5421, or through Black, Joel A via phone (336) 765-5421.

Contact Information

Primary practice address
3314 Healy Dr Suite 104 Winston-Salem NC 27103-1408
Phone: (336) 765-5421
Fax: (336) 760-9952
Website:
Map and Directions
Authorized official contact:
Name: Black, Joel A Doctor of Dental Surgery (DDS)
Phone: (336) 765-5421

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 3648 North Carolina

Profile Details

NPI number 1225074172
LBN Legal business name Joel A Black Jr Dds Pa
DBA Doing business as
Authorized official Black, Joel A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225074172 NPPES
North Carolina MEDICAID 90753

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