| Blackfoot Smiles, P.a. | |
|
310 W Idaho St Blackfoot ID 83221-1710 | |
| (208) 785-2255 | |
| (208) 785-2275 |
| Full Name | Blackfoot Smiles, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 310 W Idaho St, Blackfoot, Idaho |
| Authorized Official Name and Position | Richard Russell Burt (PRESIDENT) |
| Authorized Official Contact | 2087852255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackfoot Smiles, P.a. Po Box 248 Blackfoot ID 83221-0248 Ph: (208) 785-2255 | Blackfoot Smiles, P.a. 310 W Idaho St Blackfoot ID 83221-1710 Ph: (208) 785-2255 |
| NPI Number | 1891871521 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891871521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D1995 (Idaho) | Primary |
Riverside Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-0878 Fax: 208-785-0878 | |
Smiles 4 Kids Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 Jensen Grove Dr, Blackfoot, ID 83221 Phone: 208-785-4696 | |
Family Dental Of Blackfoot Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2407 Teeples Dr, Blackfoot, ID 83221 Phone: 208-782-0242 Fax: 208-782-1160 | |
Peggy J Trebilcock Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2407 Teeples Dr, Blackfoot, ID 83221 Phone: 208-782-0242 Fax: 208-782-1160 | |
The Family Dental Center, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 W Bridge St, Blackfoot, ID 83221 Phone: 208-785-2685 Fax: 208-785-0998 | |
Bald 1 Sleep Solutions Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 790 N Meridian St, Blackfoot, ID 83221 Phone: 801-648-2294 | |
Blackfoot Family Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 W Judicial St, Blackfoot, ID 83221 Phone: 208-785-6833 Fax: 208-785-5362 |