DR. Jay A Black, DMD
NPI #1942273396 in Camp Lejeune, North Carolina
Provider Information
- NPI Number
- 1942273396
- Entity Type
- Individual
- Name
- DR. Jay A Black, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Prosthodontics
- Credential
- DMD
- Enumeration Date
- Feb 8, 2006
- Last Updated
- Aug 1, 2007
Practice Location
- Address
- 315 MCHUGH BLVD
- Address 2
- 2D DEN BN/NDC
- City
- Camp Lejeune
- State
- North Carolina
- ZIP Code
- 28547-2511
- Phone
- (910) 451-2208
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Prosthodontics — Prosthodontics |
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