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Contact Information

BLACK RIVER FAMILY DENTISTRY LTD
N6625 COUNTY HWY A
BLACK RIVER FALLS, WI54615
 Phone: 715-284-3100
 Fax: 715-284-8115
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for BLACK RIVER FAMILY DENTISTRY LTD

NPI Number 1285778969
LBN Legal business name BLACK RIVER FAMILY DENTISTRY LTD
Authorized official ELIZABETH HERZBERG - (OWNER DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/16/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
WI License # S149015
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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