Organization · Type 2 NPI
Charles Black III DMD PA
Oral and Maxillofacial Surgery (Dentist) · Mobile, AL
NPI number
1063568848
Active
Practice location
4728 Airport Blvd, Suite C
Mobile, AL 36608
Fax (251) 343-3417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 3146 (AL) |
Oral and Maxillofacial Surgery (Dentist): 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.
3 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Mobile
About NPI 1063568848
Charles Black III DMD PA's National Provider Identifier is 1063568848, issued on Jan 26, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Mobile, AL. The record was last updated on Aug 22, 2020.