HIDDEN CREEK DENTAL NPI 1225578768

NPI Information

HIDDEN CREEK DENTAL is a general practice dentist in Boise, ID. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. HIDDEN CREEK DENTAL NPI is 1225578768. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

580 W PARKCENTER BLVD
SUITE B
BOISE, ID
ZIP 83706-659
Phone: (208) 336-8478

The provider's authorized official is Harvey James Clark .
The authorized official title is Owner and has the following contact phone number (208) 336-8478.

The enumeration date for this NPI number is 3/2/2017 and was last updated on 3/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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