BLACK RIVER DENTAL PLLC is a general practice dentist in Black River, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BLACK RIVER DENTAL PLLC NPI is 1073480612. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
28800 NYS RT 3 P.O. BOX 820 BLACK RIVER, NY ZIP 13612 Phone: (315) 773-4204 Fax: (315) 773-3126
The provider's authorized official is Della H Ramsdell . The authorized official title is Chief Operating Officer and has the following contact phone number (315) 773-4204.
The enumeration date for this NPI number is 10/20/2025 and was last updated on 10/20/2025.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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