P Praxis·MD
● Active Type 2 · Organization

Care Creek Dental Llc

Dentist·Pocatello, ID· NPI 1326281163 · Enumerated 2009 · 17 years on NPI
Care Creek Dental Llc is 1 of 1099 dentist organizations in Idaho.
NPI age
17 years
Enumerated 2009-04-09
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gagnon
Dentist/owner
Last NPPES update
2009-04-09
Source: monthly bulk 2026-05

How this organization compares

Across 1099 active dentist providers in Idaho.

NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2009 → 2026

2009-04Enumerated in NPPES
2009 2026

Where they practice

Primary practice location
1169 Call Creek Dr Ste A
Pocatello, ID 832013077
📞 2082338620
Mailing address
1169 Call Creek Dr Ste A
Pocatello, ID 832013077
📞 2082338620

Authorized official

Paul A. Gagnon, DMD
Dentist/owner
📞 2082338620

Specialties

  • Dentist Primary
    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.
    ID license #D-3946 taxonomy 1223G0001X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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