1. Home
  2. Directory
  3. Idaho
  4. Meridian
  5. Dentist
  6. NPI Profile

BLUE CREEK ENDODONTICS
NPI 1417353830
Dentist - Endodontics in Meridian, ID

Active since November 12, 2014
3240 E LOUISE DR, SUITE 110, MERIDIAN, ID 83642(208) 578-4700(208) 578-4704 Get Directions Write a Review

NPPES record last updated: November 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blue Creek Endodontics NPPES

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

BLUE CREEK ENDODONTICS (NPI 1417353830) is a healthcare organization registered as an endodontics in Meridian, Idaho and active in the NPI registry since November 2014. The organization lists James Anthony Eaton, President, as its authorized official.

NPPES Registry Identity

NPI1417353830
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameBLUE CREEK ENDODONTICS
Location Address3240 E LOUISE DR, SUITE 110Meridian, ID 83642-5107
Mailing Address3240 E Louise Dr, Suite 110Meridian, ID 83642-5107 · (208) 578-4700
Phone(208) 578-4700
Fax(208) 578-4704
Organization SubpartNo
Authorized OfficialJames Anthony EatonPresident · (901) 267-2294
Enumeration DateNovember 12, 2014
✔ NPI 1417353830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in ID · D-4611-EN
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
3240 E LOUISE DR, Meridian, ID 83642
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES

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

DALLIN LARSON DDS
Dentist (Endodontics)
3240 E LOUISE DR
MERIDIAN, ID 83642
Ada County (208) 898-8866

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 Blue Creek Endodontics's NPI number?

The NPI number for Blue Creek Endodontics is 1417353830. It was assigned to this organization in the NPPES registry on November 12, 2014.

Where is Blue Creek Endodontics located?

Blue Creek Endodontics is located at 3240 E Louise Dr Suite 110, Meridian, ID 83642. The listed phone number is (208) 578-4700.

What is Blue Creek Endodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Blue Creek Endodontics was last updated on November 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.