NPI age
15 years
Enumerated 2010-07-10
● Active Type 2 · Organization
Austin Creek Dental Pc
Austin Creek Dental Pc is 1 of 591 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hansen
President
Last NPPES update
2010-07-10
Source: monthly bulk 2026-05
How this organization compares
Across 591 active dentist providers in Idaho.
NPI age
15 years
≈ at median (16 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-07Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
4840 N Rosepoint Way, Ste A
Boise, ID 83713
Mailing address
4840 N Rosepoint Way, Ste. A.
Boise, ID 83713
Authorized official
Timothy A Hansen, DDS
President
📞 2089381825
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Timothy Hansen, DDS Dentist NPI 1215911920
Specialties
-
Dentist PrimaryA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.