Joel A Black Jr Dds Pa is a Pediatric Dental Clinic in Winston-salem, North Carolina. It is located at 3314 Healy Dr, Suite 104, Winston-salem, NC and its contact number is 336-765-5421. The authorized person for Joel A Black Jr Dds Pa is Dr. Joel A Black Jr.
who is President of the clinic and their contact number is 336-765-5421. The primary license number for Joel A Black Jr Dds Pa is 3648 (Pediatric Dentistry) in North Carolina. Joel A Black Jr Dds Pa Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Joel A Black Jr Dds Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Joel A Black Jr Dds Pa
Specialization:
Pediatric Dentistry
Clinic Address:
3314 Healy Dr, Suite 104, Winston-salem, North Carolina, 27103-1408
Phone:
336-765-5421
Fax:
336-760-9952
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Joel A Black Jr.
Position:
President
Contact Number:
336-765-5421
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Joel A Black Jr Dds Pa clinic are as mentioned below.
NPI Number:
1225074172
NPI Enumeration Date:
21 Jun, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Joel A Black Jr Dds Pa are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
3648
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
90753
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Joel A Black Jr Dds Pa 3314 Healy Dr, Suite 104 Winston-salem, North Carolina
Zip:
27103-1408
Phone Number:
336-765-5421
Fax Number:
336-760-9952
Patients can reach Joel A Black Jr Dds Pa at 3314 Healy Dr, Suite 104, Winston-salem, North Carolina or can call to book an appointment on 336-765-5421. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.