Organization
BLACK RIVER DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELLA H RAMSDELL (CHIEF OPERATING OFFICER)
(315) 773-4204
Entity
Organization
Contact information
Practice address
28800 NYS RT 3, P.O. BOX 820, BLACK RIVER, NY 13612
(315) 773-4204
(315) 773-3126
Mailing address
28800 NYS RT 3, P.O. BOX 820, BLACK RIVER, NY 13612
(315) 773-4204
(315) 773-3126
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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