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Blackrock Dental Partners, PLLC — NPI 1356643308, Pocatello, ID | NPI Central

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NPI 1356643308

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Blackrock Dental Partners, PLLC

NPI 1356643308 · Dentist · Pocatello, ID

Provider details

NPI number: 1356643308
Entity type: Organization
Primary specialty: DentistDental Providers
Authorized official: Joshua Gibbons, Owner
License: D4330 (ID)

Practice location

1606 E. Center St.

Pocatello, ID 83201-4007

Phone: (208) 232-5294

Fax: (208) 233-5188

More ID providers

Mailing address

1606 E. Center St.

Pocatello, ID 83201-4007

Registry dates

Enumerated: 2010-11-24
Last updated: 2019-11-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.