Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Austin Creek Dental PC

Organization Dentist · NPI 1710299433

Austin Creek Dental PC is a Dentist in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2010.

Licensed in
ID
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4702 N Penngrove Way Ste 100
Meridian, ID 83646-7449
Phone: (208) 938-1825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D-3513 (ID)

Record details

NPI number1710299433
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Hansen — President · (208) 938-1825
NPI enumeratedJuly 10, 2010
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address4702 N Penngrove Way Ste 100, Meridian, ID 83646-7449

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