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BLACK CANYON DENTAL P C
NPI 1679732804
Dentist - General Practice in Emmett, ID

Active since June 03, 2008
1110 S WASHINGTON AVE, EMMETT, ID 83617(208) 365-3860 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Black Canyon Dental P C NPPES

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

BLACK CANYON DENTAL P C (NPI 1679732804) is a healthcare organization registered as a general practice in Emmett, Idaho and active in the NPI registry since June 2008. The organization lists Shon D Rooks, President, as its authorized official.

NPPES Registry Identity

NPI1679732804
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBLACK CANYON DENTAL P C
Location Address1110 S WASHINGTON AVEEmmett, ID 83617-3535
Mailing Address1110 S Washington AveEmmett, ID 83617-3535 · (208) 365-3860
Phone(208) 365-3860
Organization SubpartNo
Authorized OfficialShon D RooksPresident · (208) 365-3860
Enumeration DateJune 3, 2008
Last NPPES UpdateJune 5, 2008
✔ NPI 1679732804 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.
1110 S WASHINGTON AVE, Emmett, ID 83617
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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 4

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

AURALCARE HEARING CENTERS OF AMERICA, LLC
Clinic/Center (Hearing and Speech)
1110 S WASHINGTON AVE
EMMETT, ID 83617
Gem County (208) 906-8384
DR. SHON DEWANE ROOKS D.D.S.
Dentist (General Practice)
1110 S WASHINGTON AVE
EMMETT, ID 83617
Gem County (208) 365-3860
DR. CLARK RICHARD ELKINS DMD
Dentist
1110 S WASHINGTON AVE
EMMETT, ID 83617
Gem County (208) 963-0055
ELKINS DENTISTRY, PLLC
Dentist (General Practice)
1110 S WASHINGTON AVE
EMMETT, ID 83617
Gem County (208) 369-4532

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 Canyon Dental P C's NPI number?

The NPI number for Black Canyon Dental P C is 1679732804. It was assigned to this organization in the NPPES registry on June 3, 2008.

Where is Black Canyon Dental P C located?

Black Canyon Dental P C is located at 1110 S Washington Ave, Emmett, ID 83617. The listed phone number is (208) 365-3860.

What is Black Canyon Dental P C'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 Canyon Dental P C was last updated on June 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.