Bryan Blackshare Dds | |
737 E 9th St Rector AR 72461-2705 | |
(870) 595-3463 | |
(870) 595-3208 |
Full Name | Bryan Blackshare Dds |
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Speciality | Dentist |
Location | 737 E 9th St, Rector, Arkansas |
Authorized Official Name and Position | Sammy Bryan Blackshare (OWNER) |
Authorized Official Contact | 8705953463 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bryan Blackshare Dds Po Box 363 Rector AR 72461-0363 Ph: (870) 595-3463 | Bryan Blackshare Dds 737 E 9th St Rector AR 72461-2705 Ph: (870) 595-3463 |
NPI Number | 1235790593 |
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Provider Enumeration Date | 06/26/2019 |
Last Update Date | 06/26/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235790593 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |