FAMILY DENTAL OF BLACKFOOT LLC
NPI 1205208162
Dentist in Blackfoot, ID

Q: What is Family Dental Of Blackfoot LLC's NPI number?

The NPI number for Family Dental Of Blackfoot LLC is 1205208162. It was assigned to this organization in the NPPES registry on October 30, 2015.

Q: What is Family Dental Of Blackfoot LLC's specialty?

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

Active since October 30, 2015

2407 TEEPLES DR, BLACKFOOT, ID 83221(208) 782-0242(208) 782-1160 Get Directions Write a Review

NPPES record last updated: October 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Family Dental Of Blackfoot Llc NPPES

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

FAMILY DENTAL OF BLACKFOOT LLC (NPI 1205208162) is a healthcare organization registered as a dentist in Blackfoot, Idaho and active in the NPI registry since October 2015. The organization lists Bryce Burtenshaw, Owner, as its authorized official.

NPPES Registry Identity

NPI1205208162

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameFAMILY DENTAL OF BLACKFOOT LLC

Location Address2407 TEEPLES DRBlackfoot, ID 83221-5877

Mailing Address2407 Teeples DrBlackfoot, ID 83221-5877 · (208) 782-0242 · Fax (208) 782-1160

Phone(208) 782-0242

Fax(208) 782-1160

Organization SubpartNo

Authorized OfficialBryce BurtenshawOwner · (208) 782-0242

Enumeration DateOctober 30, 2015

✔ NPI 1205208162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in ID · D-3614✔ Licensed in ID · D-3830

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.

2407 TEEPLES DR, Blackfoot, ID 83221

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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.

PEGGY J TREBILCOCK DDS

Dentist (General Practice)

2407 TEEPLES DR
BLACKFOOT, ID 83221

Bingham County (208) 782-0242

PEGGY J TREBILCOCK DDS PC

Dentist (General Practice)

2407 TEEPLES DR
BLACKFOOT, ID 83221

Bingham County (208) 782-0242

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 Family Dental Of Blackfoot LLC's NPI number?

The NPI number for Family Dental Of Blackfoot LLC is 1205208162. It was assigned to this organization in the NPPES registry on October 30, 2015.

Where is Family Dental Of Blackfoot LLC located?

Family Dental Of Blackfoot LLC is located at 2407 Teeples Dr, Blackfoot, ID 83221. The listed phone number is (208) 782-0242.

What is Family Dental Of Blackfoot LLC's specialty?

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

What insurance does Family Dental Of Blackfoot LLC accept?

Health plans from UnitedHealthcare list Family Dental Of Blackfoot LLC 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 Family Dental Of Blackfoot LLC was last updated on October 30, 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.