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PAUL R BLACK DDS PC
NPI 1487192407
Dentist - General Practice in Bettendorf, IA

Active since February 09, 2017
2525 KIMBERLY RD STE 3, BETTENDORF, IA 52722(563) 359-8271(563) 359-8272 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 26, 2025, Mar 4, 2017, Feb 9, 2017 (3 updates tracked since 2017).

About Paul R Black Dds Pc NPPES

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

PAUL R BLACK DDS PC (NPI 1487192407) is a healthcare organization registered as a general practice in Bettendorf, Iowa and active in the NPI registry since February 2017. The organization lists Paul Ralph Black, Owner, as its authorized official.

NPPES Registry Identity

NPI1487192407
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePAUL R BLACK DDS PC
Location Address2525 KIMBERLY RD STE 3Bettendorf, IA 52722-3538
Mailing Address2525 Kimberly Rd Ste 3Bettendorf, IA 52722-3538 · (563) 359-8271 · Fax (563) 359-8272
Phone(563) 359-8271
Fax(563) 359-8272
Organization SubpartNo
Authorized OfficialPaul Ralph BlackOwner · (563) 359-8271
Enumeration DateFebruary 9, 2017
Last NPPES UpdateNovember 26, 20253 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
✔ NPI 1487192407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IA · 7060
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.
2525 KIMBERLY RD STE 3, Bettendorf, IA 52722
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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 Paul R Black Dds PC's NPI number?

The NPI number for Paul R Black Dds PC is 1487192407. It was assigned to this organization in the NPPES registry on February 9, 2017.

Where is Paul R Black Dds PC located?

Paul R Black Dds PC is located at 2525 Kimberly Rd Ste 3, Bettendorf, IA 52722. The listed phone number is (563) 359-8271.

What is Paul R Black Dds PC'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 Paul R Black Dds PC was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.