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DBA CRENSHAW PROFESSIONAL DENTAL CENTER
NPI 1871631622
Dentist - General Practice in Los Angeles, CA

Active since February 02, 2007
3015 CRENSHAW BLVD, LOS ANGELES, CA 90016(323) 731-0801(323) 731-1351 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dba Crenshaw Professional Dental Center NPPES

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

DBA CRENSHAW PROFESSIONAL DENTAL CENTER (NPI 1871631622) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since February 2007. The organization lists Jeanine T Black, Business Administrator, as its authorized official.

NPPES Registry Identity

NPI1871631622
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJAMES T. BLACK, DDS A PROFESSIONAL DENTAL CORPORATION
Location Address3015 CRENSHAW BLVDLos Angeles, CA 90016-4264
Mailing Address3015 Crenshaw BlvdLos Angeles, CA 90016-4264 · (323) 731-0801 · Fax (323) 731-1351
Phone(323) 731-0801
Fax(323) 731-1351
Organization SubpartNo
Authorized OfficialJeanine T BlackBusiness Administrator · (323) 731-0801
Enumeration DateFebruary 2, 2007
Last NPPES UpdateApril 11, 2017
✔ NPI 1871631622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 17880
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.

3015 CRENSHAW BLVD, Los Angeles, CA 90016
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Other Names 1

Doing Business AsDba Crenshaw Professional Dental Center

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 6

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

DR. JAMES TILLMAN BLACK SR. DDS
Dentist (General Practice)
3015 CRENSHAW BLVD, SUITE A
LOS ANGELES, CA 90016
Los Angeles County (323) 731-0801
DEBBIE RENEE BALLENGER DDS
Dentist (General Practice)
3015 CRENSHAW BLVD
LOS ANGELES, CA 90016
Los Angeles County (323) 731-0801
DR. ROBERT JOHNSON DDS
Dentist (General Practice)
3015 CRENSHAW BLVD
LOS ANGELES, CA 90016
Los Angeles County (323) 731-0801
EDWARD E BLACK DDS,MS,INC
Dentist (Oral and Maxillofacial Surgery)
3015 CRENSHAW BLVD, SUITE C
LOS ANGELES, CA 90016
Los Angeles County (323) 734-1534
DR. NEHIKHARE OGBEVOEN D.D.S.
Dentist
3015 CRENSHAW BLVD, SUITE B
LOS ANGELES, CA 90016
Los Angeles County (323) 733-0969
JAMES TILLMAN BLACK JR. DDS
Dentist (General Practice)
3015 CRENSHAW BLVD
LOS ANGELES, CA 90016
Los Angeles County (323) 731-0801

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 James T. Black, Dds A Professional Dental Corporation's NPI number?

The NPI number for James T. Black, Dds A Professional Dental Corporation is 1871631622. It was assigned to this organization in the NPPES registry on February 2, 2007.

Where is James T. Black, Dds A Professional Dental Corporation located?

James T. Black, Dds A Professional Dental Corporation is located at 3015 Crenshaw Blvd, Los Angeles, CA 90016. The listed phone number is (323) 731-0801.

What is James T. Black, Dds A Professional Dental Corporation'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 James T. Black, Dds A Professional Dental Corporation was last updated on April 11, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.