# ELENA BLACK, DDS, PHD, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Appalachian Orthodontics of Lynchburg
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982967832
- **Authorized official:** DR. ELENA BLACK DDS, PHD (PRESIDENT)
- **Authorized official phone:** (434) 515-0370

## Contact information

- **Practice address:** 3700 OLD FOREST RD, LYNCHBURG, VA 24501-6900
- **Practice address phone:** (434) 515-0370
- **Practice address fax:** (434) 338-6552
- **Mailing address:** 3700 OLD FOREST RD, LYNCHBURG, VA 24501-6900
- **Mailing address phone:** (434) 515-0370
- **Mailing address fax:** (434) 338-6552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0401412779 | VA | Yes |

## Other

- **Enumeration date:** 06/15/2012
- **Last updated:** 06/15/2012