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

Black River Dental PLLC

Organization General Practice Dentistry · NPI 1073480612

Black River Dental PLLC is a General Practice Dentistry in Black River, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

28800 Nys Rt 3 Po Box 820
Black River, NY 13612
Phone: (315) 773-4204
Fax: (315) 773-3126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1073480612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Della Ramsdell — Chief Operating Officer · (315) 773-4204
NPI enumeratedOctober 20, 2025
Last updated in NPPESOctober 20, 2025
Mailing address28800 Nys Rt 3, P.O. Box 820, Black River, NY 13612

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