Sammy Bryan Blackshare, DDS is a
Dentist based in Rector, Arkansas. Sammy Bryan Blackshare is licensed to practice in Arkansas (license number 2730) and his current practice location is
737 E 9th, Rector, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(870) 595-3463.
NPI number for Sammy Bryan Blackshare is 1023183050 and his current mailing address is Po Box 363, 737 E 9th, Rector, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023183050.
Healthcare Provider's Profile
| Full Name | Sammy Bryan Blackshare |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
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| Location | 737 E 9th, Rector, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023183050
- Provider Enumeration Date: 11/22/2006
- Last Update Date: 06/26/2019
Medical Identifiers
Medical identifiers for Sammy Bryan Blackshare such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023183050 | NPI | - | NPPES |
| 59281 | Other | AR | BC BS |
| 840563 | Other | AR | UNITED CONCORDIA |
| 3014523 | Other | TN | BC BS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 2730 (Arkansas) | 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. Sammy Bryan Blackshare 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 Address | Practice Location Address |
|---|
Sammy Bryan Blackshare, DDS
Po Box 363, 737 E 9th,
Rector, AR 72461
Ph: (870) 595-3463 | Sammy Bryan Blackshare, DDS
737 E 9th,
Rector, AR 72461
Ph: (870) 595-3463 |
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