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Family Dental of Blackfoot LLC

Dentist in Blackfoot, ID · enumerated 2015 · authorized official Bryce Burtenshaw, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205208162

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Registry record

Entity type Organization (Type 2)
Legal business name Family Dental of Blackfoot LLC
Practice address 2407 Teeples Dr, Blackfoot, ID, 83221
Phone (208) 782-0242
Fax (208) 782-1160
Enumeration date Oct 30, 2015
Last updated in NPPES Oct 30, 2015

Taxonomy & classification

122300000X Dentist Dental Providers · License D-3614 (ID) Primary
122300000X Dentist Dental Providers · License D-3830 (ID) Secondary

Authorized official

Name Bryce Burtenshaw
Title Owner
Phone (208) 782-0242

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Family Dental of Blackfoot LLC?
The NPI for Family Dental of Blackfoot LLC is 1205208162, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Family Dental of Blackfoot LLC?
NPPES lists Bryce Burtenshaw (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-10-30.