OrganizationActive
Joel a Black Jr DDS PA
NPI 1225074172 · Pediatric Dentistry · Winston-Salem, NC
Joel a Black Jr DDS PA is a Pediatric Dentistry organization in Winston-Salem, NC (NPI 1225074172).
Provider details
- NPI number
- 1225074172
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Joel Black, President(336) 765-5421
- License
- 3648 (NC)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
3314 Healy Dr
Suite 104
Winston-Salem, NC 27103-1408
Phone: (336) 765-5421
Fax: (336) 760-9952
Street-level locationGet directions
Mailing address
3314 Healy Dr
Winston-Salem, NC 27103-1408
Registry dates
- Enumerated
- 2006-06-21
- Last updated
- 2020-08-22
Frequently asked questions
- What is Joel a Black Jr DDS PA's NPI number?
- Joel a Black Jr DDS PA's National Provider Identifier (NPI) is 1225074172, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Joel a Black Jr DDS PA?
- Joel a Black Jr DDS PA is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Joel a Black Jr DDS PA located?
- Joel a Black Jr DDS PA's practice location on file with NPPES is 3314 Healy Dr, Winston-Salem, NC 27103-1408.
- What is Joel a Black Jr DDS PA's phone number?
- The practice phone number listed in the NPPES registry for Joel a Black Jr DDS PA is (336) 765-5421.
- Who is the authorized official for Joel a Black Jr DDS PA?
- The authorized official listed on Joel a Black Jr DDS PA's NPPES record is Joel Black, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Joel a Black Jr DDS PA's NPI active?
- Yes — Joel a Black Jr DDS PA's NPI (1225074172) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.