Organization · Type 2 NPI
Smiles 4 Kids Blackfoot PLLC
Pediatric Dentistry · Blackfoot, ID
NPI number
1154799047
Active
Practice location
621 Jensen Grove Dr
Blackfoot, ID 83221-1685
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: 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.
2 other providers at this address
About NPI 1154799047
Smiles 4 Kids Blackfoot PLLC's National Provider Identifier is 1154799047, issued on Sep 9, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Blackfoot, ID. The record was last updated on Sep 9, 2015.