OrganizationActive
Austin Creek Dental PC
NPI 1710299433 · Dentist · Meridian, ID
Provider details
- NPI number
- 1710299433
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Timothy Hansen, President(208) 938-1825
- License
- D-3513 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs 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
4702 N Penngrove Way Ste 100
Meridian, ID 83646-7449
Phone: (208) 938-1825
Street-level locationGet directions
Mailing address
4702 N Penngrove Way Ste 100
Meridian, ID 83646-7449
Registry dates
- Enumerated
- 2010-07-10
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.