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BLACK BEAR DENTAL PLLC
NPI 1710719216
Dentist in Boise, ID

Active since August 14, 2024
600 E RIVERPARK LN STE 140, BOISE, ID 83706(208) 906-3860 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Black Bear Dental Pllc NPPES

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

BLACK BEAR DENTAL PLLC (NPI 1710719216), doing business as Parkcenter Smiles, is a healthcare organization registered as a dentist in Boise, Idaho and active in the NPI registry since August 2024. The organization lists Mary Krajicek, Dentist, as its authorized official.

NPPES Registry Identity

NPI1710719216
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameBLACK BEAR DENTAL PLLC
Location Address600 E RIVERPARK LN STE 140Boise, ID 83706-6509
Mailing Address600 E Riverpark Ln Ste 140Boise, ID 83706-6509 · (208) 906-3860 · Fax (208) 906-3862
Phone(208) 906-3860
Organization SubpartNo
Authorized OfficialMary KrajicekDentist · (208) 906-3860
Enumeration DateAugust 14, 2024
NPPES CertifiedAugust 14, 2024
✔ NPI 1710719216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
600 E RIVERPARK LN STE 140, Boise, ID 83706
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Other Names 1

Doing Business AsParkcenter Smiles

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 2

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

DR. JOHN D WOLD DDS
Dentist (General Practice)
600 E RIVERPARK LN STE 140
BOISE, ID 83706
Ada County (208) 383-9155
PARKCENTER SMILES LLC
Clinic/Center (Dental)
600 E RIVERPARK LN STE 140
BOISE, ID 83706
Ada County (208) 841-5038

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 Bear Dental PLLC's NPI number?

The NPI number for Black Bear Dental PLLC is 1710719216. It was assigned to this organization in the NPPES registry on August 14, 2024. The provider is doing business as Parkcenter Smiles.

Where is Black Bear Dental PLLC located?

Black Bear Dental PLLC is located at 600 E Riverpark Ln Ste 140, Boise, ID 83706. The listed phone number is (208) 906-3860.

What is Black Bear Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Black Bear Dental PLLC was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.