OrganizationActive
Blackduck Dental Clinic
NPI 1003991944 · General Practice Dentistry · Blackduck, MN
Blackduck Dental Clinic is a General Practice Dentistry organization in Blackduck, MN (NPI 1003991944).
Provider details
- NPI number
- 1003991944
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Paul Bengtson, Dentist(218) 835-4227
- License
- 7789 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
49 Summit Ave. Se
Blackduck, MN 56630
Phone: (218) 835-4227
Fax: (218) 835-7512
Street-level locationGet directions
Mailing address
Po Box 308
Blackduck, MN 56630-0308
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2022-07-21
Frequently asked questions
- What is Blackduck Dental Clinic's NPI number?
- Blackduck Dental Clinic's National Provider Identifier (NPI) is 1003991944, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blackduck Dental Clinic?
- Blackduck Dental Clinic is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Blackduck Dental Clinic located?
- Blackduck Dental Clinic's practice location on file with NPPES is 49 Summit Ave. Se, Blackduck, MN 56630.
- What is Blackduck Dental Clinic's phone number?
- The practice phone number listed in the NPPES registry for Blackduck Dental Clinic is (218) 835-4227.
- Who is the authorized official for Blackduck Dental Clinic?
- The authorized official listed on Blackduck Dental Clinic's NPPES record is Paul Bengtson, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blackduck Dental Clinic's NPI active?
- Yes — Blackduck Dental Clinic's NPI (1003991944) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.