# COREY BLACK DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SmileSpace Harlem
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043991342
- **Authorized official:** DR. COREY LAVELLE BLACK DMD (OWNER)
- **Authorized official phone:** (717) 395-3144

## Contact information

- **Practice address:** 40 W 117TH ST, NEW YORK, NY 10026-1921
- **Practice address phone:** (347) 315-3633
- **Mailing address:** 40 W 117TH ST, NEW YORK, NY 10026-1921
- **Mailing address phone:** (347) 315-3633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/28/2023
- **Last updated:** 07/28/2023