Jacquese Olean Black is a Greensboro, North Carolina based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jacquese Olean Black is 6204 for General Practice Dentistry in North Carolina. Her current practice location is 900 Summit Ave, Greensboro. Patients can reach her at 336-370-1112.
Jacquese Olean Black is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jacquese Olean Black speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Jacquese Olean Black
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
900 Summit Ave, Greensboro, North Carolina, 27405-7918
Phone:
336-370-1112
Fax:
336-544-0739
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 are as mentioned below.
NPI Number:
1649387382
NPI Enumeration Date:
25 Aug, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacquese Olean Black are as mentioned below.
License Number
Specialization
State
Status
6204
General Practice Dentistry
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jacquese Olean Black such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
90764
Other
BLUE CROSS BLUE SHIELD NC
89-90764
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:
2041 Silas Creek Pkwy, Winston Salem, North Carolina
Zip:
27103-5147
Phone Number:
336-777-0303
Fax Number:
336-777-3448
Patients can reach Jacquese Olean Black at 900 Summit Ave, Greensboro, North Carolina or can call to book an appointment on 336-370-1112. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.