Blackwell, Marissa Ann

Blackwell, Marissa Ann is an individual health care provider with primary practice located at 2902 W Beauregard Ave , San Angelo TX 76901-3644. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Blackwell, Marissa Ann can be contacted via phone (325) 949-0114.

Contact Information

Primary practice address
2902 W Beauregard Ave San Angelo TX 76901-3644
Phone: (325) 949-0114
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 32921 Texas

Profile Details

NPI number 1548790207
LBN Legal business name Blackwell, Marissa Ann
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2017
Last updated Apr 4th, 2022 - about 2 years 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.

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