Brent T. Black, DDS is a student in an organized health care education training program in Shreveport, LA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Brent T. Black, DDS NPI is 1144849365. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1501 KINGS HIGHWAY
ORAL SURGERY
SHREVEPORT, LA
ZIP 71130-932
Phone: (318) 626-0555
The enumeration date for this NPI number is 4/9/2020 and was last updated on 4/9/2020.