HIDDEN CREEK DENTAL
NPI 1225578768
Dentist - General Practice in Boise, ID

Active since March 02, 2017
580 W PARKCENTER BLVD, SUITE B, BOISE, ID 83706(208) 336-8478 Get Directions Write a Review

NPPES record last updated: March 2, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hidden Creek Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HIDDEN CREEK DENTAL (NPI 1225578768) is a healthcare organization registered as a general practice in Boise, Idaho and active in the NPI registry since March 2017. The organization lists Harvey James Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1225578768
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHIDDEN CREEK DENTAL
Location Address580 W PARKCENTER BLVD, SUITE BBoise, ID 83706-3659
Mailing Address580 W Parkcenter Blvd, Suite BBoise, ID 83706-3659 · (208) 336-8478
Organization SubpartNo
Authorized OfficialHarvey James ClarkOwner · (208) 336-8478
Enumeration DateMarch 2, 2017
NPI 1225578768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in ID · D-1699
Definition
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.
580 W PARKCENTER BLVD, Boise, ID 83706

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
580 W PARKCENTER BLVD
BOISE, ID 83706
Dentist (General Practice)
580 W PARKCENTER BLVD
BOISE, ID 83706

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hidden Creek Dental's NPI number?

The NPI number for Hidden Creek Dental is 1225578768. It was assigned to this organization in the NPPES registry on March 2, 2017.

Where is Hidden Creek Dental located?

Hidden Creek Dental is located at 580 W Parkcenter Blvd Suite B, Boise, ID 83706. The listed phone number is (208) 336-8478.

What is Hidden Creek Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Hidden Creek Dental was last updated on March 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.