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

Misty Michelle Black DDS Inc

Organization Dentist · NPI 1487946992

Misty Michelle Black DDS Inc is a Dentist in Los Angeles, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3015 Crenshaw Blvd # C
Los Angeles, CA 90016-4264
Phone: (323) 734-1534
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 59622 (CA)

Record details

NPI number1487946992
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Misty Black — Owner · (323) 734-1534
NPI enumeratedMay 3, 2011
Last updated in NPPESMay 3, 2011
Mailing address3015 Crenshaw Blvd # C, Los Angeles, CA 90016-4264

Other providers in Los Angeles