William Black DMD, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WILLIAM BLACK DMD, P.C.

Doing business as

Sakura Dental

Practice address

70 Skokie Blvd
Wilmette, IL 60091-3054

Phone

(847) 421-7182

NPI assigned

Mar 7, 2023

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William M Black, DMDNPI 1083282107

Title

Owner/Dentist

Phone

(847) 421-7182

Specialties & licenses 1

Addresses

Other names 1

• Sakura Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Michael Black, DMD

  • Dentist
  • Chicago, IL
  • NPI 1083282107
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1245930395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 SKOKIE BLVD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913054",
            "telephone_number": "847-421-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 SKOKIE BLVD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913054",
            "telephone_number": "847-421-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM BLACK DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "847-421-7182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sakura Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Delia Welter, MD
• Kate Wettergren, OTD, OTR/L, MS, MAT
• Wickshire Wilmette Opco LLC (Wickshire Wilmette)
• Elzbieta Wierzchon-Mroz, P.T.
• Mary Wilkinson
• Hannah Williams, LCSW
• Lindsay G. Williams, M.A., LPC
• Michael Ray Williams, LCSW
• Wilmette Dental, LTD.
• Wilmette Eye Care LLC

• General Practice Dentistry in Wilmette, IL
• Providers in Wilmette, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.