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

Smiles 4 Kids Blackfoot PLLC

Organization Pediatric Dentistry · NPI 1154799047

Smiles 4 Kids Blackfoot PLLC is a Pediatric Dentistry in Blackfoot, Idaho. Registered with an NPI since 2015.

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

See every abbreviation used in this directory →

Practice location Address checks out

621 Jensen Grove Dr
Blackfoot, ID 83221-1685
Phone: (208) 785-4696
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1154799047
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kory Bingham — Managing Partner · (208) 529-3007
Other names Smiles 4 Kids
NPI enumeratedSeptember 9, 2015
Last updated in NPPESSeptember 9, 2015
Mailing address621 Jensen Grove Dr, Blackfoot, ID 83221-1685