Larry C Black DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LARRY C BLACK DDS, PC

Doing business as

Larry Black Dentistry

Practice address

5145 Flushing Rd
Flushing, MI 48433-3541

Phone

(810) 732-7310

NPI assigned

Apr 15, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Larry C Black, DDSNPI 1245274729

Title

Dentist

Phone

(810) 732-7310

Specialties & licenses 1

Addresses

Other names 1

• Larry Black Dentistry 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.

• Larry Chatham Black, D.D.S.

  • General Practice Dentistry
  • Flushing, MI
  • NPI 1245274729
  NPD Authorized official

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1306690573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5145 FLUSHING RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484333541",
            "telephone_number": "810-732-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 FLUSHING RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484333541",
            "telephone_number": "810-732-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY C BLACK DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "810-732-7310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larry Black Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gay Janel Landenberg, OTR
• Meghan Louise-Mary Lane, MS, BS
• Amanda Lantz
• Linda Rae Larned, R.N.
• Lacey Larocque
• Shannon Laux
• Monica Lavigne
• Kellina Erin Leach
• Mariah Leach
• Harvey Jacob Lebeau

• Dental Clinic/Center in Flushing, MI
• Providers in Flushing, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.