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

Riverside Dental PC

Organization Dentist · NPI 1053321885

Riverside Dental PC is a Dentist 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?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1120 Parkway Dr
Blackfoot, ID 83221
Phone: (208) 785-0878
Fax: (208) 785-0878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D3225 (ID)

Record details

NPI number1053321885
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradford Harper — Owner/President · (208) 785-0878
NPI enumeratedAugust 8, 2006
Last updated in NPPESJuly 30, 2008
Mailing address1120 Parkway Dr, Blackfoot, ID 83221

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