Charles Black Iii Dmd Pa in Mobile - Oral And Maxillofacial Surgery

Charles Black Iii Dmd Pa - NPI 1063568848

Charles Black Iii Dmd Pa is a Oral And Maxillofacial Surgery in Mobile, Alabama. Charles Black Iii Dmd Pa practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Charles Black Iii Dmd Pa is 1063568848. The last update date is 2020-08-22.

Charles Black Iii Dmd Pa's current location address is 4728 Airport Blvd, Mobile, Alabama. You can contact this provider via phone number 2513433415 and fax number 2513433417. The mailing address for Charles Black Iii Dmd Pa is 4728 Airport Blvd, Mobile, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Organization Charles Black Iii Dmd Pa
Address 4728 Airport Blvd, Mobile, Alabama
Phone Number 2513433415
Fax Number 2513433417
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Black Charles
Credentials DMD
Telephone Number 2513433415

NPI Number Detail

NPI Number 1063568848
Provider Enumeration Date 2007-01-26
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 4728 Airport Blvd
City Mobile
State Alabama (AL)
Post Code 36608
Phone Number 2513433415
Fax Number 2513433417

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 3146
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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FAQs about Charles Black Iii Dmd Pa

What is the unique 10-digit identifier code issued to Charles Black Iii Dmd Pa by the Centers for Medicare & Medicaid Services?

The Charles Black Iii Dmd Pa has been assigned the NPI (National Provider Identifier) 1063568848 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Charles Black Iii Dmd Pa's facilities are situated?

The facilities of Charles Black Iii Dmd Pa are physically located at the following address: 4728 Airport Blvd, Mobile, AL, 36608.

What is the area of specialization for Charles Black Iii Dmd Pa, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Charles Black Iii Dmd Pa is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.

On what date was the 1063568848 assigned to Charles Black Iii Dmd Pa?

The Charles Black Iii Dmd Pa was issued its 1063568848 on 2007-01-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Charles Black Iii Dmd Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Charles Black Iii Dmd Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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