Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edward E Black DDS, MS, Inc

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1508010497

Edward E Black DDS, MS, Inc is an Oral and Maxillofacial Surgery (Dentist) in Los Angeles, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3015 Crenshaw Blvd Ste C
Los Angeles, CA 90016-4264
Phone: (323) 734-1534
Fax: (323) 734-4693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 17879 (CA)

Record details

NPI number1508010497
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Orellana — Office Manager · (323) 734-1534
NPI enumeratedNovember 5, 2008
Last updated in NPPESNovember 5, 2008
Mailing address3015 Crenshaw Blvd, Suite C, Los Angeles, CA 90016-4264

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