Search › Idaho › 122300000X
Richard Burt, DDS
NPI 1700894771 · on the registry since 2006
Practice
- Address
- 310 W Idaho St
Blackfoot, ID 83221 - Phone
- (208) 785-2255
- Fax
- (208) 785-2275
- Organisation at this address
- Blackfoot Smiles, P.A.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho