Blackrock Dental

LBN: Blackrock Dental Partners, Pllc
Blackrock Dental is an health care organization with primary practice located at 1606 E. Center St. , Pocatello ID 83201-4007. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Blackrock Dental Partners, Pllc can be contacted via phone (208) 232-5294, or through Gibbons, Joshua R. via phone (208) 232-5294.

Contact Information

Primary practice address
1606 E. Center St. Pocatello ID 83201-4007
Phone: (208) 232-5294
Fax: (208) 233-5188
Website:
Map and Directions
Authorized official contact:
Name: Gibbons, Joshua R. Doctor of Dental Surgery (DDS)
Phone: (208) 232-5294

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D4330 Idaho

Profile Details

NPI number 1356643308
LBN Legal business name Blackrock Dental Partners, Pllc
DBA Doing business as Blackrock Dental
Authorized official Gibbons, Joshua R. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 24th, 2010
Last updated Nov 27th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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