| Bryan Blackshare Dds | |
|
737 E 9th St Rector AR 72461-2705 | |
| (870) 595-3463 | |
| (870) 595-3208 |
| Full Name | Bryan Blackshare Dds |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |