CARE CREEK DENTAL LLC
NPI 1326281163
Dentist - General Practice in Pocatello, ID

Active since April 09, 2009
1169 CALL CREEK DR STE A, POCATELLO, ID 83201(208) 233-8620 Get Directions Write a Review

NPPES record last updated: April 9, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Care Creek Dental Llc NPPES

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

CARE CREEK DENTAL LLC (NPI 1326281163) is a healthcare organization registered as a general practice in Pocatello, Idaho and active in the NPI registry since April 2009. The organization lists Paul A. Gagnon, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1326281163
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCARE CREEK DENTAL LLC
Location Address1169 CALL CREEK DR STE APocatello, ID 83201-3077
Mailing Address1169 Call Creek Dr Ste APocatello, ID 83201-3077 · (208) 233-8620
Organization SubpartNo
Authorized OfficialPaul A. GagnonDentist/owner · (208) 233-8620
Enumeration DateApril 9, 2009
NPI 1326281163 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-3946
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.
1169 CALL CREEK DR STE A, Pocatello, ID 83201

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Care Creek Dental LLC's NPI number?

The NPI number for Care Creek Dental LLC is 1326281163. It was assigned to this organization in the NPPES registry on April 9, 2009.

Where is Care Creek Dental LLC located?

Care Creek Dental LLC is located at 1169 Call Creek Dr Ste A, Pocatello, ID 83201. The listed phone number is (208) 233-8620.

What is Care Creek Dental LLC'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 Care Creek Dental LLC was last updated on April 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.