KIRBY CLENDENON DDS NPI 1407957897

NPI Information

KIRBY CLENDENON DDS is a general practice dentist in Caldwell, ID. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. KIRBY CLENDENON DDS NPI is 1407957897. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1711 S 10TH AVE
CALDWELL, ID
ZIP 83605-839
Phone: (208) 954-9217
Fax: (208) 453-1037

The provider's authorized official is Kirby L Clendenon .
The authorized official title is President and has the following contact phone number (208) 454-9217.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.