NPI age
— years
Enumerated 2025-05-27
● Active Type 2 · Organization
Willow Creek Dental
Willow Creek Dental is 1 of 1099 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Harris
Office Manager
Last NPPES update
2025-05-27
Source: monthly bulk 2026-05
How this organization compares
Across 1099 active dentist providers in Idaho.
NPI age
0 years
↓ 18 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-05Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
1380 Latah Avenue, Idaho Falls, Id
Idaho Falls, ID 83402
Mailing address
1380 Latah Ave
Idaho Falls, ID 83402
Authorized official
Dorci Harris
Office Manager
📞 2082216205
Specialties
-
Dentist PrimaryA 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.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
WILLOW CREEK DENTAL
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.