# MATTHEW F KUNZ DDS PLLC BLACKFOOT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659078335
- **Authorized official:** DR. MATTHEW F KUNZ DDDS (PRESIDENT)
- **Authorized official phone:** (208) 547-2244

## Contact information

- **Practice address:** 600 JENSEN GROVE DR, BLACKFOOT, ID 83221-1685
- **Practice address phone:** (208) 547-2244
- **Mailing address:** 600 JENSEN GROVE DR, BLACKFOOT, ID 83221-1685
- **Mailing address phone:** (208) 547-2244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2023
- **Last updated:** 02/13/2023