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Smiles 4 Kids Blackfoot Pllc
Pediatric Dentist in Blackfoot, Idaho
NPI 1154799047

Smiles 4 Kids Blackfoot Pllc is a Pediatric Dentist based in Blackfoot, ID and is specialized in Pediatric Dentistry. Smiles 4 Kids Blackfoot Pllc practices in Blackfoot, ID. The NPI Number for Smiles 4 Kids Blackfoot Pllc is 1154799047 and holds a License No. (Idaho).

The current practice location address for Smiles 4 Kids Blackfoot Pllc is 621 Jensen Grove Dr, Blackfoot, ID and can be reached out via phone at 208-785-4696. You can also correspond with Smiles 4 Kids Blackfoot Pllc through the mailing address at 621 JENSEN GROVE DR, BLACKFOOT, ID - 83221-1685 (mailing address contact number: 208-785-4696).

Location: 621 Jensen Grove Dr, Blackfoot, ID, 83221-1685
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154799047
Provider Name
Smiles 4 Kids Blackfoot Pllc
Credential
Provider Entity Type
Organization
Address
621 Jensen Grove Dr, Blackfoot, ID, 83221-1685
Phone Number
208-785-4696
Fax Number
Provider Enumeration Date
09/09/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
621 Jensen Grove Dr
City
Blackfoot
State
Idaho
Zip
83221-1685
Phone Number
208-785-4696
Fax Number
person
Provider Business Mailing Address Details
Address
621 Jensen Grove Dr
City
Blackfoot
State
Idaho
Zip
83221-1685
Phone Number
208-785-4696
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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