NPI age
10 years
Enumerated 2015-09-09
● Active Type 2 · Organization
Smiles 4 Kids Blackfoot Pllc
Smiles 4 Kids Blackfoot Pllc is 1 of 114 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bingham
Managing Partner
Last NPPES update
2015-09-09
Source: monthly bulk 2026-05
How this organization compares
Across 114 active dentist providers in Idaho.
NPI age
10 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-09Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
621 Jensen Grove Dr
Blackfoot, ID 832211685
Mailing address
621 Jensen Grove Dr
Blackfoot, ID 832211685
Authorized official
Kory D Bingham, D.D.S.
Managing Partner
📞 2085293007
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Olav Sorensen, D.M.D. Dentist NPI 1184999708
- Jared Worthington, DDS Dentist NPI 1861067993
Specialties
-
Dentist PrimaryAn 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.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Smiles 4 Kids
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.