OrganizationActive
Black Creek Dental LLC
NPI 1457716763 · General Practice Dentistry · Black Creek, WI
Black Creek Dental LLC is a General Practice Dentistry organization in Black Creek, WI (NPI 1457716763).
Provider details
- NPI number
- 1457716763
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Thomas Lornson, Owner(920) 984-3315
- License
- 4932-15 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
207 S Main St
Black Creek, WI 54106-9742
Phone: (920) 984-3315
Fax: (920) 984-3317
Street-level locationGet directions
Mailing address
Po Box 255
Black Creek, WI 54106-0255
Registry dates
- Enumerated
- 2015-12-31
- Last updated
- 2015-12-31
Frequently asked questions
- What is Black Creek Dental LLC's NPI number?
- Black Creek Dental LLC's National Provider Identifier (NPI) is 1457716763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Creek Dental LLC?
- Black Creek Dental LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Black Creek Dental LLC located?
- Black Creek Dental LLC's practice location on file with NPPES is 207 S Main St, Black Creek, WI 54106-9742.
- What is Black Creek Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Black Creek Dental LLC is (920) 984-3315.
- Who is the authorized official for Black Creek Dental LLC?
- The authorized official listed on Black Creek Dental LLC's NPPES record is Thomas Lornson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Creek Dental LLC's NPI active?
- Yes — Black Creek Dental LLC's NPI (1457716763) is active in the NPPES registry as of the last update on 2015-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.