Willow Creek Dental Pc is a renowned Dental office in Idaho Falls, Idaho. It is located at 1380 Latah Ave, Idaho Falls, ID and its contact number is 208-552-0919. The authorized person for Willow Creek Dental Pc is Dr. Brandon D Gordon
who is Dentist of the place and their contact number is 208-552-0919. The primary license number for Willow Creek Dental Pc is D-4179 (Dental) in Idaho.
Willow Creek Dental Pc Office is a healthcare facility where dedicated dental team composed of licensed professionals, including dentists (DDS or DMD), dental hygienists, dental assistants, and administrative staff (manage appointments, billing, and patient records) provides preventive, diagnostic, and therapeutic oral health services like oral exams and X-rays, fillings, fluoride treatments, teeth cleanings, implants, crowns, bridges, tooth extractions, root canals, and cosmetic procedures such as teeth whitening, braces and veneers to patients through outpatient care.
Complete Profile:
Willow Creek Dental Pc Office speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Willow Creek Dental Pc
Specialization:
Dentistry
Address:
1380 Latah Ave, Idaho Falls, Idaho, 83402
Phone:
208-552-0919
Fax:
208-552-1010
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this Office are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Brandon D Gordon
Position:
Dentist
Contact Number:
208-552-0919
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Willow Creek Dental Pc Office are as mentioned below.
NPI Number:
1780819516
NPI Enumeration Date:
22 May, 2009
NPI Last Update On:
22 May, 2009
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Willow Creek Dental Pc are as mentioned below.
Specialization
License Number
State
Status
Dental
D-4179
Idaho
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Willow Creek Dental Pc Po Box 50938, Idaho Falls, Idaho
Zip:
83405-0938
Phone Number:
208-552-0919
Fax Number:
208-552-1010
Patients can reach Willow Creek Dental Pc at 1380 Latah Ave, Idaho Falls, Idaho or can call to book an appointment on 208-552-0919. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.