OrganizationActive
Black Bear Dental PLLC
NPI 1710719216 · Dentist · Boise, ID
Black Bear Dental PLLC is a Dentist organization in Boise, ID (NPI 1710719216).
Provider details
- NPI number
- 1710719216
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Mary Krajicek, Dentist(208) 906-3860
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
600 E Riverpark Ln Ste 140
Boise, ID 83706-6509
Phone: (208) 906-3860
Street-level locationGet directions
Mailing address
600 E Riverpark Ln Ste 140
Boise, ID 83706-6509
Other names (DBA / former)
- Doing business as
- Parkcenter Smiles
Registry dates
- Enumerated
- 2024-08-14
- Last updated
- 2024-08-14
- Certified
- 2024-08-14
Frequently asked questions
- What is Black Bear Dental PLLC's NPI number?
- Black Bear Dental PLLC's National Provider Identifier (NPI) is 1710719216, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Bear Dental PLLC?
- Black Bear Dental PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Black Bear Dental PLLC located?
- Black Bear Dental PLLC's practice location on file with NPPES is 600 E Riverpark Ln Ste 140, Boise, ID 83706-6509.
- What is Black Bear Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Black Bear Dental PLLC is (208) 906-3860.
- Who is the authorized official for Black Bear Dental PLLC?
- The authorized official listed on Black Bear Dental PLLC's NPPES record is Mary Krajicek, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Bear Dental PLLC's NPI active?
- Yes — Black Bear Dental PLLC's NPI (1710719216) is active in the NPPES registry as of the last update on 2024-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.