Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAY A BLACK, DMD
Active Sole ProprietorDR. JAY A BLACK, DMD is a Pediatric Dentistry healthcare provider located in CAMP LEJEUNE, North Carolina. NPI 1942273396 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · CAMP LEJEUNE, NC
Registration Details
- NPI Number
- 1942273396
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 8, 2006 (20.500108210564 yrs)
- Last Updated
- Aug 1, 2007
- License
-
0401008403 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
315 MCHUGH BLVD2D DEN BN/NDCCAMP LEJEUNE, NC, 285472511Browse NC providers · Browse ZIP 28547
- Phone
- 9104512208
- Fax
- 9104518036
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Other Pediatric Dentistry Providers in CAMP LEJEUNE, NC
| Name | Credential | NPI |
|---|---|---|
| JOSEPH WERRELL | — | 1386623916 |
| KENT GORE | — | 1144291311 |
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.