Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black Bear Dental PLLC

Organization Dentist · NPI 1710719216

Black Bear Dental PLLC is a Dentist in Boise, Idaho. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

600 E Riverpark Ln Ste 140
Boise, ID 83706-6509
Phone: (208) 906-3860
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1710719216
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Krajicek — Dentist · (208) 906-3860
Other names Parkcenter Smiles
NPI enumeratedAugust 14, 2024
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024
Mailing address600 E Riverpark Ln Ste 140, Boise, ID 83706-6509

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