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Kevin Hale Black, DDS,MD
Student in an Organized Health Care Education/Training Program in Charlotte, North Carolina
NPI 1003995085

Kevin Hale Black is a Student in an Organized Health Care Education/Training Program based in Charlotte, NC. Kevin Hale Black practices in Charlotte, NC and has the professional credentials of DDS,MD. The NPI Number for Kevin Hale Black is 1003995085 and holds a License No. 19705 (North Carolina).

The current practice location address for Kevin Hale Black is 1000 Blythe Blvd, Charlotte, NC and can be reached out via phone at 704-355-2000. You can also correspond with Kevin Hale Black through the mailing address at PO BOX 32861, CHARLOTTE, NC - 28232-2861 (mailing address contact number: 704-355-2000).

Location: 1000 Blythe Blvd, Charlotte, NC, 28232-2861
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003995085
Provider Name
Kevin Hale Black
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
1000 Blythe Blvd, Charlotte, NC, 28232-2861
Phone Number
704-355-2000
Fax Number
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1000 Blythe Blvd
City
Charlotte
State
North Carolina
Zip
28203-5812
Phone Number
704-355-2000
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 32861
City
Charlotte
State
North Carolina
Zip
28232-2861
Phone Number
704-355-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
19705 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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