# JUSTIN CARTER DDS P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Canyon Creek Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033849104
- **Authorized official:** DR. JUSTIN CARTER DDS (PARTNER)
- **Authorized official phone:** (435) 757-3332

## Contact information

- **Practice address:** 395 E 600 S, PRESTON, ID 83263-4901
- **Practice address phone:** (208) 852-0194
- **Mailing address:** 395 E 600 S, PRESTON, ID 83263-4901
- **Mailing address phone:** (208) 852-0194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2022
- **Last updated:** 06/13/2022