SearchTexasOral and Maxillofacial Surgery (Dentist)

Brent Black, DDS

NPI 1144849365 · on the registry since 2020 · sole proprietor

Practice

Address
1505 Emerald Plz
College Station, TX 77845
Phone
(979) 764-7101
Clinicians at this address
5

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas