SAMMY BRYAN BLACKSHARE (NPI# 1023183050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023183050 |
| Entity Type | Individual |
| Full Name | SAMMY BRYAN BLACKSHARE |
| Credential | DDS |
| Practice Address |
737 E 9th Rector AR 72461 |
| Mailing Address |
Po Box 363 737 E 9th Rector AR 72461 |
| Practice Telephone | 8705953463 |
| Practice Fax Number | 8705953208 |
| Mailing Telephone | 8705953463 |
| Mailing Fax Number | 8705953208 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2019-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2730 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BC BS | 3014523 | 01 |
| AR | UNITED CONCORDIA | 840563 | 01 |
| AR | BC BS | 59281 | 01 |
| Street Address |
737 E 9TH |
| City | RECTOR |
| State | AR |
| Zip Code | 72461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720149800 | Rector School District | Local Education Agency (LEA) | 604 W 5th, Rector, AR 72461 | 2006-12-13 |
| 1306076419 | Rector Nursing & Rehab Center, Inc. | Skilled Nursing Facility | 1023 Hwy 119, Rector, AR 72461-0000 | 2009-07-23 |
| 1841282258 | Stephen E. Duncan | Chiropractor | 118 W 4th St, Rector, AR 72461-1310 | 2005-08-22 |
| 1356548424 | Advanced Therapy Services, LLC | Occupational Therapy Assistant | 1009 W 5th St, Rector, AR 72461-1527 | 2007-06-30 |
| 1780864330 | Amy Manchester | Physical Therapist | 1009 W 5th St, Rector, AR 72461-1527 | 2007-11-13 |
| 1073711016 | Jeffrey Louis Hummert | Occupational Therapy Assistant | 1009 W 5th St, Rector, AR 72461-1527 | 2007-07-10 |
| 1649280389 | Rector Downtown Drug, Inc. | Pharmacist | 403 S Main St, Rector, AR 72461-1706 | 2006-08-08 |
| 1063966034 | Cindy Buck | Technician, Other | 911 W 6th St, Rector, AR 72461-2013 | 2016-08-08 |
| 1073575734 | Doctors Health Group, Inc | Clinic/Center | 807 E 9th St, Rector, AR 72461-2406 | 2006-04-06 |
| 1861519944 | Doctors Health Group, Inc. | Clinic/Center | 807 E 9th St, Rector, AR 72461-2406 | 2007-03-23 |
| Find all providers in zip 72461 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235790593 | Bryan Blackshare Dds | Dentist | 737 E 9th St, Rector, AR 72461-2705 | 2019-06-26 |
| 1144880154 | Daniel Miller Blackshare | Dentist | 737 E 9th St, Rector, AR 72461-2705 | 2019-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743352 | Varsha Patel | Dentist | 130 Harkrider St, Conway, AR 72032-6623 | 2020-09-04 |
| 1174132914 | John S Teed | Dentist | 800 Vista Cv, Marion, AR 72364-9704 | 2020-07-28 |
| 1891303509 | Brandt Thomas Cooper | Dentist | 1685 Airport Rd, Hot Springs, AR 71913-7951 | 2020-07-20 |
| 1174141667 | Anslee Latourette | Dentist | 8239 Rogers Ave, Fort Smith, AR 72903-5553 | 2020-07-10 |
| 1073139960 | Leona C. Kemper, Dds, Pa | Dentist | 6189 Heber Springs Rd West, Quitman, AR 72131 | 2020-06-17 |
| 1225652670 | David Barry Riggs | Dentist | 800 Locust Ave, Conway, AR 72034-5331 | 2020-06-02 |
| 1497378137 | Evgeny Titov | Dentist | 2501 Market Trce Ste A, Fort Smith, AR 72908-8881 | 2020-05-28 |
| 1306469382 | Phipps Family Dentistry | Dentist | 807 W Centerton Blvd, Centerton, AR 72719-9705 | 2020-05-25 |
| 1831711910 | Brian Lane D D S Pa | Dentist | 17 Eagle Park Dr, Vilonia, AR 72173-9050 | 2020-05-12 |
| 1215557897 | Wh Ar Dental Pllc | Dentist | 4870 Elm Springs Rd Ste B, Springdale, AR 72762-3749 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.