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CHARLES BLACK III DMD PA
NPI 1063568848
Dentist - Oral and Maxillofacial Surgery in Mobile, AL

Active since January 26, 2007
4728 AIRPORT BLVD, SUITE C, MOBILE, AL 36608(251) 343-3415(251) 343-3417 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Black Iii Dmd Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES BLACK III DMD PA (NPI 1063568848) is a healthcare organization registered as an oral and maxillofacial surgery in Mobile, Alabama and active in the NPI registry since January 2007. The organization lists Charles Black, Owner, as its authorized official.

NPPES Registry Identity

NPI1063568848
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCHARLES BLACK III DMD PA
Location Address4728 AIRPORT BLVD, SUITE CMobile, AL 36608
Mailing Address4728 Airport Blvd, Suite CMobile, AL 36608 · (251) 343-3415 · Fax (251) 343-3417
Phone(251) 343-3415
Fax(251) 343-3417
Organization SubpartNo
Authorized OfficialCharles BlackOwner · (251) 343-3415
Enumeration DateJanuary 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063568848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in AL · 3146
Definition
An oral and maxillofacial surgery dentist specialized in 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.
4728 AIRPORT BLVD, Mobile, AL 36608
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAY AREA ENDODONTICS
Clinic/Center (Dental)
4728 AIRPORT BLVD
MOBILE, AL 36608
Mobile County (251) 414-3031
JON BOWIE, D. M. D., P. C.
Clinic/Center (Dental)
4728 AIRPORT BLVD, SUITE A
MOBILE, AL 36608
Mobile County (251) 343-1794
DR. CHARLES BLACK III D.M.D.
Dentist
4728 AIRPORT BLVD, SUITE C
MOBILE, AL 36608
Mobile County (251) 343-3415

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Black III Dmd PA's NPI number?

The NPI number for Charles Black III Dmd PA is 1063568848. It was assigned to this organization in the NPPES registry on January 26, 2007.

Where is Charles Black III Dmd PA located?

Charles Black III Dmd PA is located at 4728 Airport Blvd Suite C, Mobile, AL 36608. The listed phone number is (251) 343-3415.

What is Charles Black III Dmd PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Charles Black III Dmd PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.