JOEL A BLACK JR DDS PA (NPI# 1225074172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225074172 |
| Entity Type | Organization |
| Organization Name | JOEL A BLACK JR DDS PA |
| Practice Address |
3314 Healy Dr Suite 104 Winston-salem NC 27103-1408 |
| Practice Telephone | 3367655421 |
| Practice Fax Number | 3367609952 |
| Mailing Telephone | 3367655421 |
| Mailing Fax Number | 3367609952 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOEL A BLACK JR. (PRESIDENT) |
| Authorized Official Telephone | 3367655421 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
3648 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 90753 | 05 |
| Street Address |
3314 HEALY DR SUITE 104 |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27103-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396717005 | J Barry Johnson | Podiatrist | 3314 Healy Dr, Suite 102, Winston-salem, NC 27103-1408 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528035946 | Mark Lawrence Meyer | Dentist | 1544 N Peace Haven Rd, Winston-salem, NC 27104-1328 | 2006-03-03 |
| 1134172729 | Gina Shropshire Spangler | Dentist | 1544 N Peace Haven Rd, Winston-salem, NC 27104-1328 | 2006-05-18 |
| 1366408338 | Tina Scott Merhoff | Dentist | 185 Kimel Park Dr, Suite 202, Winston-salem, NC 27103-6973 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507468 | S Vakil Dds Ms IIi Pa | Dentist | 181 N Main St Ste 202, Mooresville, NC 28115-2525 | 2020-10-26 |
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1942820105 | David E Thome Dds Pllc X | Dentist | 7856 Village Ctr N, Sherrills Ford, NC 28673-9413 | 2020-04-17 |
| 1689293706 | Alterman Dhillon and Associates | Dentist | 9648 Chapel Hill Rd Ste 100, Morrisville, NC 27560-7846 | 2020-04-09 |
| 1457982852 | Miguel Angel Simancas-pallares | Dentist | 228 Brauer Hall Cb#7450, Chapel Hill, NC 27599-0001 | 2020-02-04 |
| 1396388096 | Thome & Kankash Dds Pllc I | Dentist | 401 Attain St Ste 111, Fuquay Varina, NC 27526-2702 | 2019-10-25 |
| 1104469808 | David E Thome Dds Pllc Ix | Dentist | 5641 Poplar Tent Rd Ste 201, Concord, NC 28027-7588 | 2019-10-25 |
| 1154981371 | Bevin K Malle Dds Pa II | Dentist | 9817 Suzanne Ct., Suite B, Waxhaw, NC 28173-8848 | 2019-06-19 |
| 1740849744 | Riccobene & Associates Xxx, Dds, P.a. | Dentist | 8203 Market St Bldg B, Wilmington, NC 28411-9389 | 2019-06-12 |
| 1609337930 | Jean Kontos Ginnis | Dentist | Manning Drive & S Columbia Street, Chapel Hill, NC 27599-0001 | 2019-03-28 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON-SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on JOEL A BLACK JR DDS PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.