DR. CHARLES RANDALL BLACK DMD
NPI 1205094240
Dentist - General Practice in Plymouth, MA

Q: What is Charles Black's NPI number?

The NPI number for Charles Black is 1205094240. It was assigned to this individual provider in the NPPES registry on May 27, 2008.

Q: What is Charles Black's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Charles Black was last updated on May 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since May 27, 2008

26 LONG POND ROAD, PLYMOUTH COUNTY CORRECTIONAL FACILITY, PLYMOUTH, MA 02360(508) 830-6200(508) 830-6358 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Charles Randall Black Dmd NPPES

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

DR. CHARLES RANDALL BLACK DMD (NPI 1205094240) is an individual general practice provider in Plymouth, Massachusetts, licensed in Massachusetts (12990) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1205094240

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. CHARLES RANDALL BLACKCredential: DMD

Location Address26 LONG POND ROAD, PLYMOUTH COUNTY CORRECTIONAL FACILITYPlymouth, MA 02360-2606

Mailing Address39 Kathleen DrivePlymouth, MA 02360-1630 · (508) 224-8951

Phone(508) 830-6200

Fax(508) 830-6358

Sole ProprietorYes

Enumeration DateMay 27, 2008

✔ NPI 1205094240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MA · 12990

Definition

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.

26 LONG POND ROAD, Plymouth, MA 02360

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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's NPI number?

The NPI number for Charles Black is 1205094240. It was assigned to this individual provider in the NPPES registry on May 27, 2008.

Where is Charles Black located?

Charles Black practices at 26 Long Pond Road Plymouth County Correctional Facility, Plymouth, MA 02360. The listed phone number is (508) 830-6200.

What is Charles Black's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Charles Black was last updated on May 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.