Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blackfoot Family Dentistry PLLC

Organization Dentist · NPI 1578958252

Blackfoot Family Dentistry PLLC is a Dentist in Blackfoot, Idaho. Licensed in Idaho. Registered with an NPI since 2015.

Licensed in
ID
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

380 W Judicial St
Blackfoot, ID 83221-2122
Phone: (208) 785-6833
Fax: (208) 785-5362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D3690 (ID)

Record details

NPI number1578958252
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cade Baldwin — Doctor · (208) 785-6833
NPI enumeratedMarch 31, 2015
Last updated in NPPESMarch 31, 2015
Mailing address380 W Judicial St, Blackfoot, ID 83221-2122

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