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Dr. Charles Randall Black, DMD
General Practice Dentistry in Plymouth, Massachusetts
NPI 1205094240

Charles Randall Black is a General Practice Dentistry based in Plymouth, MA and is specialized in General Practice. Charles Randall Black practices in Plymouth, MA and has the professional credentials of DMD. The NPI Number for Charles Randall Black is 1205094240 and holds a License No. 12990 (Massachusetts).

The current practice location address for Charles Randall Black is 26 Long Pond Road, Plymouth, MA and can be reached out via phone at 508-830-6200 and via fax at 508-830-6358. You can also correspond with Charles Randall Black through the mailing address at 39 KATHLEEN DRIVE, PLYMOUTH, MA - 02360-1630 (mailing address contact number: 508-224-8951).

Location: 26 Long Pond Road, Plymouth, MA, 02360-1630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205094240
Provider Name
Charles Randall Black
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
26 Long Pond Road, Plymouth, MA, 02360-1630
Phone Number
508-830-6200
Fax Number
508-830-6358
Provider Enumeration Date
05/27/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
26 Long Pond Road
City
Plymouth
State
Massachusetts
Zip
02360-2606
Phone Number
508-830-6200
Fax Number
508-830-6358
person
Provider Business Mailing Address Details
Address
26 Long Pond Road
City
Plymouth
State
Massachusetts
Zip
02360-2606
Phone Number
508-830-6200
Fax Number
508-830-6358
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12990 (Massachusetts)
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.
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