Individual provider · Type 1 NPI

Jacquese Olean Black, DDS

General Practice Dentistry · Greensboro, NC

NPI number 1649387382 Active

Practice location

900 Summit Ave
Greensboro, NC 27405-7918

Call (336) 370-1112 Map

Fax (336) 544-0739

Mailing address

2041 Silas Creek Pkwy
Winston Salem, NC 27103-5147

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X6204 (NC)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1649387382

Jacquese Olean Black, DDS's National Provider Identifier is 1649387382, issued on Aug 25, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Greensboro, NC. The record was last updated on Jul 8, 2007.