Black, Marcus D

Black, Marcus D is an individual health care provider with primary practice located at 2109 S 54Th St Ste 1 , Rogers AR 72758-8195. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Black, Marcus D can be contacted via phone (479) 464-0900.

Contact Information

Primary practice address
2109 S 54Th St Ste 1 Rogers AR 72758-8195
Phone: (479) 464-0900
Fax: (479) 464-0708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2858 Arkansas

Profile Details

NPI number 1821123589
LBN Legal business name Black, Marcus D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jul 8th, 2007 - about 19 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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