person
Dr. Joel A Black JR., DDS
Pediatric Dentist in Winston Salem, North Carolina
NPI 1427112978

Joel A Black JR. is a Pediatric Dentist based in Winston Salem, NC and is specialized in Pediatric Dentistry. Joel A Black JR. practices in Winston Salem, NC and has the professional credentials of DDS. The NPI Number for Joel A Black JR. is 1427112978 and holds a License No. 3648 (North Carolina).

The current practice location address for Joel A Black JR. 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
person
Provider Profile Details
NPI Number
1427112978
Provider Name
Joel A Black JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3314 Healy Dr, Winston Salem, NC, 27103-1408
Phone Number
336-765-5421
Fax Number
336-760-9952
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8990753 05 NC
1225074172 01 NC 'ORGANIZATION' NPI
institution
Provider Business Practice Location Address Details
Address
3314 Healy Dr
City
State
Zip
27103-1408
Phone Number
336-765-5421
Fax Number
336-760-9952
person
Provider Business Mailing Address Details
Address
3314 Healy Dr
City
State
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
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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