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JACQUESE OLEAN BLACK DDS
NPI 1649387382
Dentist - General Practice in Greensboro, NC

Active since August 25, 2006
900 SUMMIT AVE, GREENSBORO, NC 27405(336) 370-1112(336) 544-0739 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacquese Olean Black Dds NPPES

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

JACQUESE OLEAN BLACK DDS (NPI 1649387382) is an individual general practice provider in Greensboro, North Carolina, licensed in North Carolina (6204) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1649387382
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJACQUESE OLEAN BLACKCredential: DDS
Location Address900 SUMMIT AVEGreensboro, NC 27405-7918
Mailing Address2041 Silas Creek PkwyWinston Salem, NC 27103-5147 · (336) 777-0303 · Fax (336) 777-3448
Phone(336) 370-1112
Fax(336) 544-0739
Sole ProprietorNo
Enumeration DateAugust 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649387382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 6204
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.
900 SUMMIT AVE, Greensboro, NC 27405
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Other Identifiers 2

Other90764Blue Cross Blue Shield Nc
Medicaid89-90764NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Other Providers at the Same Location NPPES 7

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

BALLANCE & DEROSE DDS PA
Dentist (General Practice)
900 SUMMIT AVE
GREENSBORO, NC 27405
Guilford County (336) 370-1112
CARMEN LIANNE LEARY DDS
Dentist (General Practice)
900 SUMMIT AVE
GREENSBORO, NC 27405
Guilford County (336) 370-1112
DR. ELYSA BAILEY DEMORAIS D.D.S.
Dentist
900 SUMMIT AVE
GREENSBORO, NC 27405
Guilford County (336) 370-1112
PEERANAN S LEE DMD
Dentist (General Practice)
900 SUMMIT AVE
GREENSBORO, NC 27405
Guilford County (336) 370-1112
DR. CANDICE TYIERA HODGE DDS
Dentist (General Practice)
900 SUMMIT AVE
GREENSBORO, NC 27405
Guilford County (336) 370-1112
DR. FELICIA MCNEAL MILLNER DDS, MS
Dentist (Pediatric Dentistry)
900 SUMMIT AVE
GREENSBORO, NC 27405
Guilford County (336) 370-1112
RAFAEL RIVERA, JR., DDS, PLLC
Dentist
900 SUMMIT AVE
GREENSBORO, NC 27405
Guilford County (336) 370-1112

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 Jacquese Black's NPI number?

The NPI number for Jacquese Black is 1649387382. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Jacquese Black located?

Jacquese Black practices at 900 Summit Ave, Greensboro, NC 27405. The listed phone number is (336) 370-1112.

What is Jacquese Black's specialty?

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

What insurance does Jacquese Black accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Jacquese Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacquese Black was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.