NPI age
1 years
Enumerated 2024-08-14
● Active Type 2 · Organization
Black Bear Dental Pllc
Black Bear Dental Pllc is 1 of 591 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Krajicek
Dentist
Last NPPES update
2024-08-14
Source: monthly bulk 2026-05
How this organization compares
Across 591 active dentist providers in Idaho.
NPI age
1 years
↓ 15 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-08Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
600 E Riverpark Ln Ste 140
Boise, ID 837066509
Mailing address
600 E Riverpark Ln Ste 140
Boise, ID 837066509
Authorized official
Mary Krajicek, DDS
Dentist
📞 2089063860
Individual providers at this organization
1 individual provider on file at this primary practice address.
- John Wold, DDS Dentist NPI 1114086089
Specialties
-
Dentist PrimaryA 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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Parkcenter Smiles
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.