Blackfoot Smiles, P.a. is a Dental Clinic in Blackfoot, Idaho. It is located at 310 W Idaho St, Blackfoot, ID and its contact number is 208-785-2255. The authorized person for Blackfoot Smiles, P.a. is Dr. Richard Russell Burt
who is President of the clinic and their contact number is 208-785-2255. The primary license number for Blackfoot Smiles, P.a. is D1995 (General Practice) in Idaho.
Blackfoot Smiles, P.a. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Blackfoot Smiles, P.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Blackfoot Smiles, P.a. |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 310 W Idaho St, Blackfoot,
Idaho, 83221-1710 |
| Phone: | 208-785-2255 |
| Fax: | 208-785-2275 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Richard Russell Burt |
| Position: | President |
| Contact Number: | 208-785-2255 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Blackfoot Smiles, P.a. clinic are as mentioned below.
| NPI Number: | 1891871521 |
| NPI Enumeration Date: | 27 Oct, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Blackfoot Smiles, P.a. are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | D1995 | Idaho | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Blackfoot Smiles, P.a.
Po Box 248,
Blackfoot, Idaho |
| Zip: | 83221-0248 |
| Phone Number: | 208-785-2255 |
| Fax Number: | 208-785-2275 |
Patients can reach Blackfoot Smiles, P.a. at
310 W Idaho St, Blackfoot, Idaho or can
call to book an appointment on 208-785-2255.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.