Blackduck Dental Clinic

NPI #1003991944 in Blackduck, Minnesota

Provider Information

NPI Number: 1003991944
Entity Type: Organization
Organization Name: Blackduck Dental Clinic
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 26, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 49 SUMMIT AVE. SE
City: Blackduck
State: Minnesota
ZIP Code: 56630
Phone: (218) 835-4227

Authorized Official

Name: DR. PAUL R BENGTSON, DDS
Title: DENTIST
Phone: (218) 835-4227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Paul Roy Bengtson, DDS	Dentist - General Practice	Blackduck	AI Deep Dive
DR. Scott Joseph Larson, D.D.S	Dentist - General Practice	Blackduck	AI Deep Dive
MR. Michael J Fasbender, DDS	Dentist - General Practice	Austin	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Blackduck Dental Clinic Psc	Dentist - General Practice	Blackduck	AI Deep Dive

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