Organization
PAUL R BLACK DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL RALPH BLACK JR. DDS, PC (OWNER)
(563) 359-8271
Entity
Organization
Contact information
Practice address
2525 KIMBERLY RD STE 3, BETTENDORF, IA 52722-3538
(563) 359-8271
(563) 359-8272
Mailing address
2525 KIMBERLY RD STE 3, BETTENDORF, IA 52722-3538
(563) 359-8271
(563) 359-8272
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7060
IA
Other
Enumeration date
02/09/2017
Last updated
11/26/2025
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