WILLOW CREEK DENTAL PC is a dental clinic center in Idaho Falls, ID. WILLOW CREEK DENTAL PC NPI is 1780819516. The provider is registered as an organization entity type.
The provider's business location address is:
1380 LATAH AVE IDAHO FALLS, ID ZIP 83402 Phone: (208) 552-0919 Fax: (208) 552-1010
The provider's authorized official is Brandon D Gordon . The authorized official title is Dentist and has the following contact phone number (208) 552-0919.
The enumeration date for this NPI number is 5/22/2009 and was last updated on 5/22/2009.
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:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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