OrganizationActive
Willow Creek Dental PC
NPI 1780819516 · Dental Clinic/Center · Idaho Falls, ID
Willow Creek Dental PC is a Dental Clinic/Center organization in Idaho Falls, ID (NPI 1780819516).
Provider details
- NPI number
- 1780819516
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brandon Gordon, Dentist(208) 552-0919
- License
- D-4179 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
1380 Latah Ave
Idaho Falls, ID 83402
Phone: (208) 552-0919
Fax: (208) 552-1010
Street-level locationGet directions
Mailing address
Po Box 50938
Idaho Falls, ID 83405-0938
Registry dates
- Enumerated
- 2009-05-22
- Last updated
- 2009-05-22
Frequently asked questions
- What is Willow Creek Dental PC's NPI number?
- Willow Creek Dental PC's National Provider Identifier (NPI) is 1780819516, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willow Creek Dental PC?
- Willow Creek Dental PC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Willow Creek Dental PC located?
- Willow Creek Dental PC's practice location on file with NPPES is 1380 Latah Ave, Idaho Falls, ID 83402.
- What is Willow Creek Dental PC's phone number?
- The practice phone number listed in the NPPES registry for Willow Creek Dental PC is (208) 552-0919.
- Who is the authorized official for Willow Creek Dental PC?
- The authorized official listed on Willow Creek Dental PC's NPPES record is Brandon Gordon, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willow Creek Dental PC's NPI active?
- Yes — Willow Creek Dental PC's NPI (1780819516) is active in the NPPES registry as of the last update on 2009-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.