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

Blackfoot Smiles, PA

Organization General Practice Dentistry · NPI 1891871521

Blackfoot Smiles, PA is a General Practice Dentistry in Blackfoot, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

310 W Idaho St
Blackfoot, ID 83221-1710
Phone: (208) 785-2255
Fax: (208) 785-2275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D1995 (ID)

Record details

NPI number1891871521
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Burt — President · (208) 785-2255
NPI enumeratedOctober 27, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 248, Blackfoot, ID 83221-0248

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