Brent T Black, DDS - Dentist in College Station, TX

Brent T Black, DDS is a Dentist - Oral And Maxillofacial Surgery based in College Station, Texas. Brent T Black is licensed to practice in Texas (license number 36416) and his current practice location is 1505 Emerald Plz, College Station, Texas. He can be reached at his office (for appointments etc.) via phone at (979) 764-7101.

NPI number for Brent T Black is 1144849365 and his current mailing address is 1505 Emerald Plz, College Station, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144849365.

Contact Information

Brent T Black, DDS
1505 Emerald Plz,
College Station, TX 77845-1501
(979) 764-7101
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameBrent T Black
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location1505 Emerald Plz, College Station, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144849365
  • Provider Enumeration Date: 04/09/2020
  • Last Update Date: 07/15/2024

Medical Identifiers

Medical identifiers for Brent T Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144849365NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 36416 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brent T Black is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brent T Black, DDS
1505 Emerald Plz,
College Station, TX 77845-1501

Ph: (979) 764-7101
Brent T Black, DDS
1505 Emerald Plz,
College Station, TX 77845-1501

Ph: (979) 764-7101

Reviews and Comments


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