IndividualActive
Jacquese Black, DDS
NPI 1649387382 · General Practice Dentistry · Greensboro, NC
Jacquese Black, DDS is a General Practice Dentistry provider in Greensboro, NC (NPI 1649387382).
Provider details
- NPI number
- 1649387382
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 6204 (NC)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
900 Summit Ave
Greensboro, NC 27405-7918
Phone: (336) 370-1112
Fax: (336) 544-0739
Street-level locationGet directions
Mailing address
2041 Silas Creek Pkwy
Winston Salem, NC 27103-5147
Registry dates
- Enumerated
- 2006-08-25
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jacquese Black's NPI number?
- Jacquese Black's National Provider Identifier (NPI) is 1649387382, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacquese Black's specialty?
- Jacquese Black is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jacquese Black located?
- Jacquese Black's practice location on file with NPPES is 900 Summit Ave, Greensboro, NC 27405-7918.
- What is Jacquese Black's phone number?
- The practice phone number listed in the NPPES registry for Jacquese Black is (336) 370-1112.
- Is Jacquese Black's NPI active?
- Yes — Jacquese Black's NPI (1649387382) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.