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Joel A Black Jr Dds Pa
Pediatric Dentist in Winston-Salem, North Carolina
NPI 1225074172

Joel A Black Jr Dds Pa is a Pediatric Dentist based in Winston-Salem, NC and is specialized in Pediatric Dentistry. Joel A Black Jr Dds Pa practices in Winston-Salem, NC. The NPI Number for Joel A Black Jr Dds Pa is 1225074172 and holds a License No. 3648 (North Carolina).

The current practice location address for Joel A Black Jr Dds Pa is 3314 Healy Dr, Winston-Salem, NC and can be reached out via phone at 336-765-5421 and via fax at 336-760-9952.

Location: 3314 Healy Dr, Winston-Salem, NC, 27103-1408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225074172
Provider Name
Joel A Black Jr Dds Pa
Credential
Provider Entity Type
Organization
Address
3314 Healy Dr, Winston-Salem, NC, 27103-1408
Phone Number
336-765-5421
Fax Number
336-760-9952
Provider Enumeration Date
06/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
90753 05 NC
institution
Provider Business Practice Location Address Details
Address
3314 Healy Dr
City
Winston-Salem
State
North Carolina
Zip
27103-1408
Phone Number
336-765-5421
Fax Number
336-760-9952
person
Provider Business Mailing Address Details
Address
3314 Healy Dr
City
Winston-Salem
State
North Carolina
Zip
27103-1408
Phone Number
336-765-5421
Fax Number
336-760-9952
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
3648 (North Carolina)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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