Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES RANDALL BLACK, DMD
Active Sole ProprietorDR. CHARLES RANDALL BLACK, DMD is a General Dentistry healthcare provider located in PLYMOUTH, Massachusetts. NPI 1205094240 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · PLYMOUTH, MA
Registration Details
- NPI Number
- 1205094240
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2008 (18.192046395922 yrs)
- Last Updated
- May 27, 2008
- License
-
12990 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
26 LONG POND ROADPLYMOUTH COUNTY CORRECTIONAL FACILITYPLYMOUTH, MA, 023602606Browse MA providers · Browse ZIP 02360
- Phone
- 5088306200
- Fax
- 5088306358
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in PLYMOUTH, MA
| Name | Credential | NPI |
|---|---|---|
| DR. KARL MARTIN DAVID WIKLUND | DMD | 1023094513 |
| DR. ELAINE H. O'BRIEN | D.M.D. | 1922086362 |
| DR. CHRISTOPHER JON FREYERMUTH | D.M.D | 1114957586 |
| DR. KARIM RIZKALLA | D.M.D. | 1063437218 |
| DR. BAHAA RIZKALLA | D.D.S. | 1083639223 |
| DR. STEPHEN KERR | DMD | 1053339101 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.