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SMILES 4 KIDS
NPI 1154799047
Dentist - Pediatric Dentistry in Blackfoot, ID

Active since September 09, 2015
621 JENSEN GROVE DR, BLACKFOOT, ID 83221(208) 785-4696 Get Directions Write a Review

NPPES record last updated: September 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Smiles 4 Kids NPPES

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

SMILES 4 KIDS (NPI 1154799047) is a healthcare organization registered as a pediatric dentistry in Blackfoot, Idaho and active in the NPI registry since September 2015. The organization lists Kory D Bingham, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1154799047
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSMILES 4 KIDS BLACKFOOT PLLC
Location Address621 JENSEN GROVE DRBlackfoot, ID 83221-1685
Mailing Address621 Jensen Grove DrBlackfoot, ID 83221-1685 · (208) 785-4696
Phone(208) 785-4696
Organization SubpartNo
Authorized OfficialKory D BinghamManaging Partner · (208) 529-3007
Enumeration DateSeptember 9, 2015
✔ NPI 1154799047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
621 JENSEN GROVE DR, Blackfoot, ID 83221
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Other Names 1

Doing Business AsSmiles 4 Kids

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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.

MR. OLAV JENS SORENSEN D.M.D.
Dentist (General Practice)
621 JENSEN GROVE DR
BLACKFOOT, ID 83221
Bingham County (208) 915-8419
JARED WORTHINGTON DDS
Dentist (Pediatric Dentistry)
621 JENSEN GROVE DR
BLACKFOOT, ID 83221
Bingham County (435) 668-9919

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 Smiles 4 Kids Blackfoot PLLC's NPI number?

The NPI number for Smiles 4 Kids Blackfoot PLLC is 1154799047. It was assigned to this organization in the NPPES registry on September 9, 2015. The provider is doing business as Smiles 4 Kids.

Where is Smiles 4 Kids Blackfoot PLLC located?

Smiles 4 Kids Blackfoot PLLC is located at 621 Jensen Grove Dr, Blackfoot, ID 83221. The listed phone number is (208) 785-4696.

What is Smiles 4 Kids Blackfoot PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Smiles 4 Kids Blackfoot PLLC accept?

Health plans from UnitedHealthcare list Smiles 4 Kids Blackfoot PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Smiles 4 Kids Blackfoot PLLC was last updated on September 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.