BLACKDUCK DENTAL CLINIC PSC
NPI 1376814939
Dentist - General Practice in Blackduck, MN

Q: What is Blackduck Dental Clinic Psc's NPI number?

The NPI number for Blackduck Dental Clinic Psc is 1376814939. It was assigned to this organization in the NPPES registry on January 13, 2012.

Q: What is Blackduck Dental Clinic Psc's specialty?

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

Active since January 13, 2012

49 SUMMIT AVE. E., BLACKDUCK, MN 56630(218) 835-4227 Get Directions Write a Review

NPPES record last updated: January 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Blackduck Dental Clinic Psc NPPES

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

BLACKDUCK DENTAL CLINIC PSC (NPI 1376814939) is a healthcare organization registered as a general practice in Blackduck, Minnesota and active in the NPI registry since January 2012. The organization lists Scott Joseph Larson, President, as its authorized official.

NPPES Registry Identity

NPI1376814939

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameBLACKDUCK DENTAL CLINIC PSC

Location Address49 SUMMIT AVE. E.Blackduck, MN 56630-9727

Mailing AddressPo Box 308Blackduck, MN 56630-0308 · (218) 835-4227

Phone(218) 835-4227

Organization SubpartNo

Authorized OfficialScott Joseph LarsonPresident · (218) 835-4227

Enumeration DateJanuary 13, 2012

✔ NPI 1376814939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · D12251

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.

49 SUMMIT AVE. E., Blackduck, MN 56630

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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SCOTT JOSEPH LARSON D.D.S

Dentist (General Practice)

49 SUMMIT AVE. E.
BLACKDUCK, MN 56630

Beltrami County (218) 835-4227

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 Blackduck Dental Clinic Psc's NPI number?

The NPI number for Blackduck Dental Clinic Psc is 1376814939. It was assigned to this organization in the NPPES registry on January 13, 2012.

Where is Blackduck Dental Clinic Psc located?

Blackduck Dental Clinic Psc is located at 49 Summit Ave. E., Blackduck, MN 56630. The listed phone number is (218) 835-4227.

What is Blackduck Dental Clinic Psc'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 Blackduck Dental Clinic Psc was last updated on January 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.