Blackfoot Family Dentistry Pllc

NPI #1578958252 in Blackfoot, Idaho

Provider Information

NPI Number: 1578958252
Entity Type: Organization
Organization Name: Blackfoot Family Dentistry Pllc
Primary Specialty: Dentist
Enumeration Date: Mar 31, 2015
Last Updated: Mar 31, 2015

Practice Location

Address: 380 W JUDICIAL ST
City: Blackfoot
State: Idaho
ZIP Code: 83221-2122
Phone: (208) 785-6833

Authorized Official

Name: DR. CADE G BALDWIN, DDS
Title: DOCTOR
Phone: (208) 785-6833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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