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

Black Bear Family Dental PC

Organization Dental Clinic/Center · NPI 1609344894

Black Bear Family Dental PC is a Dental Clinic/Center in Bemidji, Minnesota. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1628 30th St NW
Bemidji, MN 56601-4690
Phone: (218) 444-2004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1609344894
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Veronica Cooper — President · (218) 444-2004
NPI enumeratedNovember 6, 2018
Last updated in NPPESNovember 6, 2018
Mailing address1628 30th St Nw, Bemidji, MN 56601-4690

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