| NPI | 1356643308 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2010-11-24 |
| Last Updated | 2019-11-27 |
| Authorized Official | Joshua Gibbons Owner Phone: 2082325294 |
| Mailing Address | 1606 E. Center St. Pocatello, ID 83201-4007 United States Phone: (208) 232-5294 | Fax: (208) 233-5188 📍 View Map |
| Primary Practice Address | 1606 E. Center St. Pocatello, ID 83201-4007 United States Phone: (208) 232-5294 | Fax: (208) 233-5188 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 122300000X – Dentist | ID | D4330 |
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About NPI 1356643308
Blackrock Dental Partners, Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1356643308. The primary specialty listed is Dentist. The organization is located in Pocatello, ID. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-11-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1356643308?
NPI 1356643308 belongs to Blackrock Dental Partners, Pllc, a Dentist in Pocatello, ID. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1356643308 active?
The current status of NPI 1356643308 in the NPPES registry is Active. The record was last updated on 2019-11-27.
What specialty is NPI 1356643308?
NPI 1356643308 is classified under the taxonomy Dentist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1356643308?
You can verify NPI 1356643308 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1356643308?
The primary practice address on file for NPI 1356643308 is 1606 E. Center St., Pocatello, ID 83201-4007. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1356643308 issued?
NPI 1356643308 was first issued (enumerated) on 2010-11-24. The NPPES record was last updated on 2019-11-27.
Practice Location Map
Blackrock Dental Partners, Pllc is located at 1606 E. Center St., Pocatello, ID. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Blackrock Dental Partners, Pllc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1356643308. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist | D4330 | ID |