Individual
DR. NARVEL ATWOOD BLACK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
25210 US HWY 31 NORTH, JEMISON, AL 35085
(205) 688-4408
(205) 688-4408
Mailing address
PO BOX 547, JEMISON, AL 35085
(205) 688-4408
(205) 688-4409
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3570
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090470
BCBS
AL
01
—
402814
UNITED CONCORDIA
AL
Enumeration date
09/09/2006
Last updated
07/08/2007
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