IndividualActive
Charles Black, DMD
NPI 1205094240 · General Practice Dentistry · Plymouth, MA
Charles Black, DMD is a General Practice Dentistry provider in Plymouth, MA (NPI 1205094240).
Provider details
- NPI number
- 1205094240
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12990 (MA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
26 Long Pond Road
Plymouth County Correctional Facility
Plymouth, MA 02360-2606
Phone: (508) 830-6200
Fax: (508) 830-6358
Street-level locationGet directions
Mailing address
39 Kathleen Drive
Plymouth, MA 02360-1630
Registry dates
- Enumerated
- 2008-05-27
- Last updated
- 2008-05-27
Frequently asked questions
- What is Charles Black's NPI number?
- Charles Black's National Provider Identifier (NPI) is 1205094240, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Black's specialty?
- Charles Black is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Charles Black located?
- Charles Black's practice location on file with NPPES is 26 Long Pond Road, Plymouth, MA 02360-2606.
- What is Charles Black's phone number?
- The practice phone number listed in the NPPES registry for Charles Black is (508) 830-6200.
- Is Charles Black's NPI active?
- Yes — Charles Black's NPI (1205094240) is active in the NPPES registry as of the last update on 2008-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.