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 provides Dentist services 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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