JOEL A BLACK JR DDS PA
NPI 1225074172
Dentist - Pediatric Dentistry in Winston-salem, NC

Active since June 21, 2006
3314 HEALY DR, SUITE 104, WINSTON-SALEM, NC 27103(336) 765-5421(336) 760-9952 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Joel A Black Jr Dds Pa NPPES

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

JOEL A BLACK JR DDS PA (NPI 1225074172) is a healthcare organization registered as a pediatric dentistry in Winston-salem, North Carolina and active in the NPI registry since June 2006. The organization lists Joel A Black, President, as its authorized official.

NPPES Registry Identity

NPI1225074172
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameJOEL A BLACK JR DDS PA
Location Address3314 HEALY DR, SUITE 104Winston-salem, NC 27103-1408
Mailing Address3314 Healy Dr, Suite 104Winston-salem, NC 27103-1408 · (336) 765-5421 · Fax (336) 760-9952
Fax(336) 760-9952
Organization SubpartNo
Authorized OfficialJoel A BlackPresident · (336) 765-5421
Enumeration DateJune 21, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1225074172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NC · 3648
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3314 HEALY DR, Winston-salem, NC 27103

Other Identifiers 1

Medicaid90753NC

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 9

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

Home Health
3314 HEALY DR, SUITE 105A
WINSTON SALEM, NC 27103
Clinic/Center (Physical Therapy)
3314 HEALY DR, SUITE 105
WINSTON SALEM, NC 27103
Hearing Instrument Specialist
3314 HEALY DR, STE 107
WINSTON SALEM, NC 27103
Podiatrist (Foot & Ankle Surgery)
3314 HEALY DR, SUITE 102
WINSTON-SALEM, NC 27103
Dentist (Pediatric Dentistry)
3314 HEALY DR, SUITE 104
WINSTON SALEM, NC 27103
Clinic/Center (Hearing and Speech)
3314 HEALY DR, SUITE 106
WINSTON SALEM, NC 27103
Social Worker (Clinical)
3314 HEALY DR, SUITE 105
WINSTON SALEM, NC 27103
Dentist (General Practice)
3314 HEALY DR, SUITE 101
WINSTON SALEM, NC 27103

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 Joel A Black Jr Dds PA's NPI number?

The NPI number for Joel A Black Jr Dds PA is 1225074172. It was assigned to this organization in the NPPES registry on June 21, 2006.

Where is Joel A Black Jr Dds PA located?

Joel A Black Jr Dds PA is located at 3314 Healy Dr Suite 104, Winston-Salem, NC 27103. The listed phone number is (336) 765-5421.

What is Joel A Black Jr Dds PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Joel A Black Jr Dds PA was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.