DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FAMILY DENTAL OF BLACKFOOT LLC

Active Organization

FAMILY DENTAL OF BLACKFOOT LLC is a Dentist organization located in BLACKFOOT, Idaho. NPI 1205208162 is currently active in the NPPES registry. Verify at CMS.

Dentist · BLACKFOOT, ID

Registration Details

NPI Number
1205208162
Provider Type
Organization
NPI Issued
Oct 30, 2015 (10.809389654557 yrs)
Last Updated
Oct 30, 2015
Licenses
D-3830 (ID)
D-3614 (ID)

Practice Information

Address
2407 TEEPLES DR
BLACKFOOT, ID, 832215877
Browse ID providers · Browse ZIP 83221
Phone
2087820242
Fax
2087821160
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Organizations in BLACKFOOT, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.