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RIVERSIDE DENTAL PC
NPI 1053321885
Dentist in Blackfoot, ID

Active since August 08, 2006
1120 PARKWAY DR, BLACKFOOT, ID 83221(208) 785-0878(208) 785-0878 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Riverside Dental Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSIDE DENTAL PC (NPI 1053321885) is a healthcare organization registered as a dentist in Blackfoot, Idaho and active in the NPI registry since August 2006. The organization lists Bradford William Harper, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1053321885
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameRIVERSIDE DENTAL PC
Location Address1120 PARKWAY DRBlackfoot, ID 83221
Mailing Address1120 Parkway DrBlackfoot, ID 83221 · (208) 785-0878 · Fax (208) 785-0878
Phone(208) 785-0878
Fax(208) 785-0878
Organization SubpartNo
Authorized OfficialBradford William HarperOwner/president · (208) 785-0878
Enumeration DateAugust 8, 2006
Last NPPES UpdateJuly 30, 2008
✔ NPI 1053321885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ID · D3225
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1120 PARKWAY DR, Blackfoot, ID 83221
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Other Identifiers 2

Medicaid002801200ID
Medicaid518546704002UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRADFORD WILLIAM HARPER DDS
Dentist (General Practice)
1120 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 785-0878
TOWNSQUARE DENTAL OF BLACKFOOT PLLC
Dentist (General Practice)
1120 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 785-0878

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverside Dental PC's NPI number?

The NPI number for Riverside Dental PC is 1053321885. It was assigned to this organization in the NPPES registry on August 8, 2006.

Where is Riverside Dental PC located?

Riverside Dental PC is located at 1120 Parkway Dr, Blackfoot, ID 83221. The listed phone number is (208) 785-0878.

What is Riverside Dental PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Riverside Dental PC was last updated on July 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.