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Contact Information

SAMMY B BLACKSHARE, DDS
737 E 9TH
RECTOR, AR72461
 Phone: 870-595-3463
 Fax: 870-595-3208
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for SAMMY B BLACKSHARE · (Male)

NPI Number 1023183050
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/22/2006
Last updated 06/26/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 2730
  • AR Other 59281 BC BS
  • AR Other 840563 UNITED CONCORDIA
  • TN Other 3014523 BC BS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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