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 |
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Address | 4728 Airport Blvd, Mobile, Alabama |
Phone Number | 2513433415 |
Fax Number | 2513433417 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Black Charles |
Credentials | DMD |
Telephone Number | 2513433415 |
NPI Number Detail
NPI Number | 1063568848 |
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Provider Enumeration Date | 2007-01-26 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 4728 Airport Blvd |
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City | Mobile |
State | Alabama (AL) |
Post Code | 36608 |
Phone Number | 2513433415 |
Fax Number | 2513433417 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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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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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.