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

DR. RICHARD RUSSELL BURT, DDS

Active

DR. RICHARD RUSSELL BURT, DDS is a Dentist healthcare provider located in BLACKFOOT, Idaho. NPI 1700894771 is currently active in the NPPES registry. Verify at CMS.

Dentist · BLACKFOOT, ID

Registration Details

NPI Number
1700894771
Provider Type
Individual
Gender
Male
NPI Issued
Aug 4, 2006 (19.997669924856 yrs)
Last Updated
Jul 8, 2007
License
D1995 (ID)

Practice Information

Address
310 W IDAHO ST
BLACKFOOT, ID, 832210248
Browse ID providers · Browse ZIP 83221
Phone
2087852255
Fax
2087852275
Primary Specialty
Dentist
122300000X

Other Dentist Providers in BLACKFOOT, ID

Name Credential NPI
DR. CHARLES GORDON SIMPSON DDS 1194869990
DR. PAUL LLOYD HANSEN D.D.S. 1831415447
KELLY WEAVER DDS 1578884235
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.