| Blackfoot Family Dentistry Pllc | |
|
380 W Judicial St Blackfoot ID 83221-2122 | |
| (208) 785-6833 | |
| (208) 785-5362 |
| Full Name | Blackfoot Family Dentistry Pllc |
|---|---|
| Speciality | Dentist |
| Location | 380 W Judicial St, Blackfoot, Idaho |
| Authorized Official Name and Position | Cade G Baldwin (DOCTOR) |
| Authorized Official Contact | 2087856833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackfoot Family Dentistry Pllc 380 W Judicial St Blackfoot ID 83221-2122 Ph: (208) 785-6833 | Blackfoot Family Dentistry Pllc 380 W Judicial St Blackfoot ID 83221-2122 Ph: (208) 785-6833 |
| NPI Number | 1578958252 |
|---|---|
| Provider Enumeration Date | 03/31/2015 |
| Last Update Date | 03/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578958252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D3690 (Idaho) | Primary |
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