Brian S Black Dds Pllc | |
219 Rock Prairie Rd Ste. 100 College Station TX 77845 | |
(979) 695-8000 | |
(979) 314-9702 |
Full Name | Brian S Black Dds Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 219 Rock Prairie Rd Ste. 100, College Station, Texas |
Authorized Official Name and Position | Brian Scott Black (PRESIDENT) |
Authorized Official Contact | 9796958000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brian S Black Dds Pllc 219 Rock Prairie Rd Ste 100 College Station TX 77845-8796 Ph: (979) 695-8000 | Brian S Black Dds Pllc 219 Rock Prairie Rd Ste. 100 College Station TX 77845 Ph: (979) 695-8000 |
NPI Number | 1619277894 |
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Provider Enumeration Date | 10/22/2010 |
Last Update Date | 04/03/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619277894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 25509 (Texas) | Primary |
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