Marcus Black, D.d.s., P.a.

NPI #1699918540 in Rogers, Arkansas

Provider Information

NPI Number: 1699918540
Entity Type: Organization
Organization Name: Marcus Black, D.d.s., P.a.
Primary Specialty: Dentist
Enumeration Date: Apr 8, 2009
Last Updated: Apr 8, 2009

Practice Location

Address: 2109 SOUTH 54TH STREET
City: Rogers
State: Arkansas
ZIP Code: 72758-8195
Phone: (479) 464-0900

Authorized Official

Name: DR. MARCUS DEWITT BLACK, D.D.S.
Title: DENTIST
Phone: (479) 464-0900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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