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Contact Information

BLACKFOOT FAMILY DENTISTRY PLLC
380 W JUDICIAL ST
BLACKFOOT, ID83221-2122
 Phone: 208-785-6833
 Fax: 208-785-5362
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for BLACKFOOT FAMILY DENTISTRY PLLC

NPI Number 1578958252
LBN Legal business name BLACKFOOT FAMILY DENTISTRY PLLC
Authorized official CADE BALDWIN - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/31/2015
Last updated 03/31/2015 - About 11 years ago
Identifiers
ID License # D3690
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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