Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blackduck Dental Clinic PSC

Organization General Practice Dentistry · NPI 1376814939

Blackduck Dental Clinic PSC provides General Practice Dentistry in Blackduck, Minnesota. Licensed in Minnesota. Registered with an NPI since 2012.

Licensed in
MN
In the registry since
2012
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

49 Summit Ave E
Blackduck, MN 56630-9727 Not confirmed with CMS for 14 years — call before visiting
Phone: (218) 835-4227
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D12251 (MN)

Record details

NPI number1376814939
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Larson — President · (218) 835-4227
NPI enumeratedJanuary 13, 2012
Last updated in NPPESJanuary 13, 2012
Mailing addressPo Box 308, Blackduck, MN 56630-0308

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