Individual
PARKER BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15105 JOHN J DELANEY DR STE K, CHARLOTTE, NC 28277-2848
(704) 540-2255
Mailing address
551 RIVERHILL CIR APT 638, COLUMBIA, SC 29210-8154
(502) 777-9899
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14659
NC
122300000X
Dentist
Primary
APPLIED
SC
Other
Enumeration date
11/04/2025
Last updated
05/03/2026
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