Organization

Bryan Blackshare Dds

Dentist in Rector, AR(View on Map)

Legal Business Name

Bryan Blackshare Dds

NPI Number

1235790593

NPI Type

Organization

Enumeration Date

06/26/2019

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 363
737 E 9TH ST

City

Rector
Rector

State

AR
AR

Postal Code

72461-0363
72461-2705

Country

US
US

Telephone Number

(870) 595-3463
(870) 595-3463

Authorized Official

Name

Dr. Sammy Blackshare

Title or Position

OWNER

Telephone Number

(870) 595-3463

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/26/2019

Provider Address