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WILLOW CREEK DENTAL
NPI 1376336925
Dentist - General Practice in Idaho Falls, ID

Active since May 27, 2025
1380 LATAH AVENUE, IDAHO FALLS, ID, IDAHO FALLS, ID 83402(208) 552-0919(208) 552-1010 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Willow Creek Dental NPPES

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

WILLOW CREEK DENTAL (NPI 1376336925) is a healthcare organization registered as a general practice in Idaho Falls, Idaho and active in the NPI registry since May 2025. The organization lists Dorci Harris, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1376336925
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWILLOW CREEK DENTAL
Location Address1380 LATAH AVENUE, IDAHO FALLS, IDIdaho Falls, ID 83402
Mailing Address1380 Latah AveIdaho Falls, ID 83402 · (208) 552-0919 · Fax (208) 552-1010
Phone(208) 552-0919
Fax(208) 552-1010
Organization SubpartNo
Authorized OfficialDorci HarrisOffice Manager · (208) 221-6205
Enumeration DateMay 27, 2025
NPPES CertifiedMay 27, 2025
✔ NPI 1376336925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1380 LATAH AVENUE, IDAHO FALLS, ID, Idaho Falls, ID 83402
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Other Names 1

Doing Business AsWillow Creek Dental

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

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 Willow Creek Dental's NPI number?

The NPI number for Willow Creek Dental is 1376336925. It was assigned to this organization in the NPPES registry on May 27, 2025.

Where is Willow Creek Dental located?

Willow Creek Dental is located at 1380 Latah Avenue, Idaho Falls, Id, Idaho Falls, ID 83402. The listed phone number is (208) 552-0919.

What is Willow 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 Willow Creek Dental was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.