Black, Brent T.
Black, Brent T. is an sole proprietor health care provider with primary practice located at 1505 Emerald Plz , College Station TX 77845-1501. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Black, Brent T. can be contacted via phone (979) 764-7101.Contact Information
Primary practice address
1505 Emerald Plz
College Station TX 77845-1501
Phone: (979) 764-7101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 36416 | Texas |
Profile Details
| NPI number | 1144849365 |
|---|---|
| LBN Legal business name | Black, Brent T. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 9th, 2020 |
| Last updated | Jul 15th, 2024 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Lapp, Thomas H
10972 Allisonville Rd Suite 100, Fishers IN 46038-2637 -
Schabes, George A
2035 Lakeville Rd Ste 204, New Hyde Park NY 11040-1661 -
Lalani, Zahid S
8687 Louetta Rd Suite 100, Spring TX 77379-6672 -
Garrett, James Bryan
1505 Emerald Plz , College Station TX 77845-1501 -
Garrett, James Curtis
1505 Emerald Plaza , College Station TX 77845-1501 -
Sullivan, Steven M
1000 N Lincoln Blvd Ste 200, Oklahoma City OK 73104-3252 -
Orden, Adam
1330 Beacon St Ste 344, Brookline MA 02446-3202 -
Kennady, Monta Cutbirth
1505 Emerald Plaza , College Station TX 77845-1501