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BLACK RIVER DENTAL PLLC
NPI 1073480612
Dentist - General Practice in Black River, NY

Active since October 20, 2025
28800 NYS RT 3, P.O. BOX 820, BLACK RIVER, NY 13612(315) 773-4204(315) 773-3126 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Black River Dental Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACK RIVER DENTAL PLLC (NPI 1073480612) is a healthcare organization registered as a general practice in Black River, New York and active in the NPI registry since October 2025. The organization lists Della H Ramsdell, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1073480612
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBLACK RIVER DENTAL PLLC
Location Address28800 NYS RT 3, P.O. BOX 820Black River, NY 13612
Mailing Address28800 Nys Rt 3, P.o. Box 820Black River, NY 13612 · (315) 773-4204 · Fax (315) 773-3126
Phone(315) 773-4204
Fax(315) 773-3126
Organization SubpartNo
Authorized OfficialDella H RamsdellChief Operating Officer · (315) 773-4204
Enumeration DateOctober 20, 2025
✔ NPI 1073480612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

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.

28800 NYS RT 3, Black River, NY 13612
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Black River Dental PLLC's NPI number?

The NPI number for Black River Dental PLLC is 1073480612. It was assigned to this organization in the NPPES registry on October 20, 2025.

Where is Black River Dental PLLC located?

Black River Dental PLLC is located at 28800 Nys Rt 3 P.O. Box 820, Black River, NY 13612. The listed phone number is (315) 773-4204.

What is Black River Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Black River Dental PLLC was last updated on October 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.