Elena Black, DDS, PHD, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0401412779 Issued in VA

Legal business name

ELENA BLACK, DDS, PHD, PC

Practice address

3700 Old Forest Rd
Lynchburg, VA 24501-6900

Phone

(434) 515-0370

Fax

(434) 338-6552

NPI assigned

Jun 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Elena Black, DDS, PHD

Title

President

Phone

(434) 515-0370

Specialties & licenses 1

Addresses

Other names 1

• Appalachian Orthodontics of Lynchburg Doing business as

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1982967832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 OLD FOREST RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245016900",
            "telephone_number": "434-515-0370",
            "fax_number": "434-338-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 OLD FOREST RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245016900",
            "telephone_number": "434-515-0370",
            "fax_number": "434-338-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELENA BLACK, DDS, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-515-0370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PHD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401412779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appalachian Orthodontics of Lynchburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Edobor Ekoh, DMD
• Tararnce Derail Elam
• Heather Clements Elder, FNP-C
• Jerry Curtis Elder, OPTICIAN PRESIDENT O
• Electronics Repair Center, Inc
• Kitsa Eleutheriou
• Elhardt Family Wellness LLC
• Louis Edgard Eliacin Jr.
• Omar Youssef Elkhamra, M.D.
• Angeline Elliott, MS, CCC-SLP

• Dental Clinic/Center in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.