Sammy Bryan Blackshare, DDS

NPI #1023183050 in Rector, Arkansas

Provider Information

NPI Number
1023183050
Entity Type
Individual
Name
Sammy Bryan Blackshare, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Nov 22, 2006
Last Updated
Jun 26, 2019

Practice Location

Address
737 E 9TH
City
Rector
ZIP Code
72461
Phone
(870) 595-3463

Specialties & Taxonomy Codes

Specialty
Dentist

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