IndividualActive
Jay Black, DMD
NPI 1942273396 · Prosthodontics · Camp Lejeune, NC
Provider details
- NPI number
- 1942273396
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0401008403 (VA)
Specialties & taxonomies
Dental Providers
Practice location
315 Mchugh Blvd
2d Den Bn/Ndc
Camp Lejeune, NC 28547-2511
Phone: (910) 451-2208
Fax: (910) 451-8036
Approximate (ZIP-level) locationGet directions
Mailing address
315 Mchugh Blvd
Camp Lejeune, NC 28547-2511
Registry dates
- Enumerated
- 2006-02-08
- Last updated
- 2007-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.