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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WILLOW CREEK DENTAL PC

Active Organization

WILLOW CREEK DENTAL PC is a Dental Clinic organization located in IDAHO FALLS, Idaho. NPI 1780819516 is currently active in the NPPES registry. Verify at CMS.

Dental Clinic · IDAHO FALLS, ID

Registration Details

NPI Number
1780819516
Provider Type
Organization
NPI Issued
May 22, 2009 (17.254121104002 yrs)
Last Updated
May 22, 2009
License
D-4179 (ID)

Practice Information

Address
1380 LATAH AVE
IDAHO FALLS, ID, 83402
Browse ID providers · Browse ZIP 83402
Phone
2085520919
Fax
2085521010
Primary Specialty
Dental Clinic
261QD0000X

Other Dental Clinic Organizations in IDAHO FALLS, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.