Blackfoot Smiles, P.a.
NPI #1891871521 in Blackfoot, Idaho
Provider Information
- NPI Number
- 1891871521
- Entity Type
- Organization
- Organization Name
- Blackfoot Smiles, P.a.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 27, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- DR. RICHARD RUSSELL BURT, D.D.S.
- Title
- PRESIDENT
- Phone
- (208) 785-2255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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