OrganizationActive
Hidden Creek Dental, PLLC
NPI 1396554762 · General Practice Dentistry · Boise, ID
Hidden Creek Dental, PLLC is a General Practice Dentistry organization in Boise, ID (NPI 1396554762).
Provider details
- NPI number
- 1396554762
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ryan Clark, Sole Owner/Dentist(208) 336-8478
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
580 W Parkcenter Blvd
Boise, ID 83706-3659
Phone: (208) 336-8478
Street-level locationGet directions
Mailing address
580 W Parkcenter Blvd
Boise, ID 83706-3659
Registry dates
- Enumerated
- 2024-12-31
- Last updated
- 2024-12-31
- Certified
- 2024-12-31
Frequently asked questions
- What is Hidden Creek Dental, PLLC's NPI number?
- Hidden Creek Dental, PLLC's National Provider Identifier (NPI) is 1396554762, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hidden Creek Dental, PLLC?
- Hidden Creek Dental, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Hidden Creek Dental, PLLC located?
- Hidden Creek Dental, PLLC's practice location on file with NPPES is 580 W Parkcenter Blvd, Boise, ID 83706-3659.
- What is Hidden Creek Dental, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Hidden Creek Dental, PLLC is (208) 336-8478.
- Who is the authorized official for Hidden Creek Dental, PLLC?
- The authorized official listed on Hidden Creek Dental, PLLC's NPPES record is Ryan Clark, Sole Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hidden Creek Dental, PLLC's NPI active?
- Yes — Hidden Creek Dental, PLLC's NPI (1396554762) is active in the NPPES registry as of the last update on 2024-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.