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

Hidden Creek Dental, PLLC

Organization General Practice Dentistry · NPI 1396554762

Hidden Creek Dental, PLLC is a General Practice Dentistry in Boise, Idaho. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

580 W Parkcenter Blvd
Boise, ID 83706-3659
Phone: (208) 336-8478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1396554762
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Clark — Sole Owner/Dentist · (208) 336-8478
NPI enumeratedDecember 31, 2024
Last updated in NPPESDecember 31, 2024
Certification dateDecember 31, 2024
Mailing address580 W Parkcenter Blvd, Boise, ID 83706-3659

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