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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLACK RIVER DENTAL PLLC

Active Organization

BLACK RIVER DENTAL PLLC is a General Dentistry organization located in BLACK RIVER, New York. NPI 1073480612 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BLACK RIVER, NY

Registration Details

NPI Number
1073480612
Provider Type
Organization
NPI Issued
Oct 20, 2025 (0.84724799023649 yrs)
Last Updated
Oct 20, 2025

Practice Information

Address
28800 NYS RT 3
P.O. BOX 820
BLACK RIVER, NY, 13612
Browse NY providers · Browse ZIP 13612
Phone
3157734204
Fax
3157733126
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.