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BLACKFOOT SMILES, P.A.
NPI 1891871521
Dentist - General Practice in Blackfoot, ID

Active since October 27, 2006
310 W IDAHO ST, BLACKFOOT, ID 83221(208) 785-2255(208) 785-2275 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blackfoot Smiles, P.a. NPPES

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

BLACKFOOT SMILES, P.A. (NPI 1891871521) is a healthcare organization registered as a general practice in Blackfoot, Idaho and active in the NPI registry since October 2006. The organization lists Richard Russell Burt, President, as its authorized official.

NPPES Registry Identity

NPI1891871521
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBLACKFOOT SMILES, P.A.
Location Address310 W IDAHO STBlackfoot, ID 83221-1710
Mailing AddressPo Box 248Blackfoot, ID 83221-0248 · (208) 785-2255 · Fax (208) 785-2275
Phone(208) 785-2255
Fax(208) 785-2275
Organization SubpartNo
Authorized OfficialRichard Russell BurtPresident · (208) 785-2255
Enumeration DateOctober 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1891871521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D1995
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
310 W IDAHO ST, 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 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.

KELLY WEAVER DDS
Dentist
310 W IDAHO ST
BLACKFOOT, ID 83221
Bingham County (208) 785-2255
DR. RICHARD RUSSELL BURT DDS
Dentist
310 W IDAHO ST
BLACKFOOT, ID 83221
Bingham County (208) 785-2255

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 Blackfoot Smiles, P.A.'s NPI number?

The NPI number for Blackfoot Smiles, P.A. is 1891871521. It was assigned to this organization in the NPPES registry on October 27, 2006.

Where is Blackfoot Smiles, P.A. located?

Blackfoot Smiles, P.A. is located at 310 W Idaho St, Blackfoot, ID 83221. The listed phone number is (208) 785-2255.

What is Blackfoot Smiles, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Blackfoot Smiles, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.