P Praxis·MD
● Active Type 2 · Organization

Blackrock Dental Partners, Pllc

Dentist·Pocatello, ID· NPI 1356643308 · Enumerated 2010 · 15 years on NPI
Blackrock Dental Partners, Pllc is 1 of 591 dentist organizations in Idaho.
NPI age
15 years
Enumerated 2010-11-24
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gibbons
Owner
Last NPPES update
2019-11-27
Source: monthly bulk 2026-05

How this organization compares

Across 591 active dentist providers in Idaho.

NPI age
15 years
≈ at median (16 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-11Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
1606 E. Center St.
Pocatello, ID 832014007
📞 2082325294fax 2082335188
Mailing address
1606 E. Center St.
Pocatello, ID 832014007
📞 2082325294fax 2082335188

Authorized official

Joshua R. Gibbons, DDS
Owner
📞 2082325294

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    ID license #D4330 taxonomy 122300000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Blackrock Dental
    Type code 3 recorded 2019-11-27

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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