Search › Massachusetts › 1223G0001X
Charles Black, DMD
NPI 1205094240 · on the registry since 2008 · sole proprietor
Practice
- Address
- 26 Long Pond Road
Plymouth County Correctional Facility
Plymouth, MA 02360 - Phone
- (508) 830-6200
- Fax
- (508) 830-6358
- Organisation at this address
- Plymouth County Sheriff'S Department
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-05-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts