DR. CHARLES BLACK III (NPI# 1972754950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972754950 |
| Entity Type | Individual |
| Full Name | DR. CHARLES BLACK III |
| Credential | D.M.D. |
| Practice Address |
4728 Airport Blvd Suite C Mobile AL 36608 |
| Practice Telephone | 2513433415 |
| Practice Fax Number | 2513433417 |
| Mailing Telephone | 2513433415 |
| Mailing Fax Number | 2513433417 |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3146 | AL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205094240 | Charles Randall Black | Dentist | 26 Long Pond Road, Plymouth County Correctional Facility, Plymouth, MA 02360-2606 | 2008-05-27 |
| 1962555342 | Charles Leonard Black | Emergency Medicine | 7600 General Motors Blvd, Medical Department, Shreveport, LA 71129-9426 | 2007-01-19 |
| 1356407902 | Charles Brad Black | Family Medicine | 214 E 3rd St, Libby, MT 59923-2056 | 2006-12-28 |
| 1053424234 | Charles Glenn Black | Physical Therapist | 1231 Colonial Park Dr, Severn, MD 21144-4417 | 2006-08-15 |
| 1528049723 | Charles Thomas Black | Surgery | 12200 Park Central Dr Ste 400, Dallas, TX 75251-2116 | 2005-11-07 |
| 1790988087 | Charles Henry Black Iv | Orthopaedic Surgery | 1002 Jefferson St., Suite 350, Laurel, MS 39440-4306 | 2007-06-06 |
| 1427196096 | Charles Alexander Black Jr. | Technician, Other | 427 Commercial St, Boston, MA 02109-1027 | 2007-02-03 |
| 1497764187 | Charles B Black | Surgery | 1010 Three Springs Blvd, Durango, CO 81301-8296 | 2006-08-05 |
| 1730111378 | Charles Joseph Black | Social Worker | 4355 Ferguson Dr, Suite 270, Cincinnati, OH 45245-5136 | 2006-07-06 |
| 1992744981 | Charles Black | Surgery | 1534 Elizabeth Ave, Suite 202, Shreveport, LA 71101-4516 | 2006-06-05 |
| Street Address |
4728 AIRPORT BLVD SUITE C |
| City | MOBILE |
| State | AL |
| Zip Code | 36608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891809919 | Jon Bowie, D. M. D., P. C. | Clinic/Center | 4728 Airport Blvd, Suite A, Mobile, AL 36608-3170 | 2006-08-18 |
| 1811276371 | Bay Area Endodontics | Clinic/Center | 4728 Airport Blvd, Mobile, AL 36608-3170 | 2011-08-15 |
| 1063568848 | Charles Black IIi Dmd Pa | Dentist | 4728 Airport Blvd, Suite C, Mobile, AL 36608 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538754 | Affordable Dentures & Implants - Mobile, P.C. | Dentist | 4439 Rangeline Rd Ste A, Mobile, AL 36619-9551 | 2019-10-02 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1629563598 | Stephanie Berry Evans | Dentist | 7765 Airport Blvd Ste D200, Mobile, AL 36608-5038 | 2018-06-24 |
| 1346766979 | Saman Mostajabian | Dentist | 3281 Bel Air Mall Ste G18a, Mobile, AL 36606-3207 | 2017-08-15 |
| 1528581170 | Midtown Family Dental, P.C. | Dentist | 79 Midtown Park E, Mobile, AL 36606-4141 | 2017-07-25 |
| 1073033296 | Kelsey Nutt Peters | Dentist | 7760 Moffett Rd, Mobile, AL 36618-4136 | 2017-06-20 |
| 1437523347 | Sonya White D.d.s. PC | Dentist | 6309 Piccadilly Square Dr., Mobile, AL 36609 | 2015-11-17 |
| 1881093581 | Hubert H. Parker Iv, D.m.d PC | Dentist | 9985 Airport Blvd Ste B, Mobile, AL 36608-9525 | 2014-08-19 |
| 1679911606 | Jonathan S Smith | Dentist | 720 S Leeds Ave, Mobile, AL 36612-1946 | 2013-06-12 |
| 1033452826 | Robert David Crist | Dentist | 3750 Professional Pkwy, Mobile, AL 36609-5407 | 2013-04-01 |
| Find all providers in MOBILE | ||||
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| 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.