OrganizationActive
Family Dental of Blackfoot LLC
NPI 1205208162 · Dentist · Blackfoot, ID
Family Dental of Blackfoot LLC is a Dentist organization in Blackfoot, ID (NPI 1205208162).
Provider details
- NPI number
- 1205208162
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Bryce Burtenshaw, Owner(208) 782-0242
- License
- D-3830 (ID)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2407 Teeples Dr
Blackfoot, ID 83221-5877
Phone: (208) 782-0242
Fax: (208) 782-1160
Street-level locationGet directions
Mailing address
2407 Teeples Dr
Blackfoot, ID 83221-5877
Registry dates
- Enumerated
- 2015-10-30
- Last updated
- 2015-10-30
Frequently asked questions
- What is Family Dental of Blackfoot LLC's NPI number?
- Family Dental of Blackfoot LLC's National Provider Identifier (NPI) is 1205208162, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Family Dental of Blackfoot LLC?
- Family Dental of Blackfoot LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Family Dental of Blackfoot LLC located?
- Family Dental of Blackfoot LLC's practice location on file with NPPES is 2407 Teeples Dr, Blackfoot, ID 83221-5877.
- What is Family Dental of Blackfoot LLC's phone number?
- The practice phone number listed in the NPPES registry for Family Dental of Blackfoot LLC is (208) 782-0242.
- Who is the authorized official for Family Dental of Blackfoot LLC?
- The authorized official listed on Family Dental of Blackfoot LLC's NPPES record is Bryce Burtenshaw, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Family Dental of Blackfoot LLC's NPI active?
- Yes — Family Dental of Blackfoot LLC's NPI (1205208162) is active in the NPPES registry as of the last update on 2015-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.