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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CLARK U KNOWLTON, D.D.S.

Active Sole Proprietor

DR. CLARK U KNOWLTON, D.D.S. is a Orthodontics healthcare provider located in MERIDIAN, Idaho. NPI 1386093219 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · MERIDIAN, ID

Registration Details

NPI Number
1386093219
Provider Type
Individual
Gender
Male
NPI Issued
Jun 10, 2016 (10.194720851268 yrs)
Last Updated
May 5, 2021
Licenses
DD5108 (NM)
D-5193-OR (ID)
Sole Proprietor
Yes

Practice Information

Address
543 W GABLE ST
MERIDIAN, ID, 836466355
Browse ID providers · Browse ZIP 83646
Phone
3105628760
Primary Specialty
Orthodontics
1223X0400X
Additional Specialty
Orthodontics

Other Orthodontics Providers in MERIDIAN, ID

Name Credential NPI
GREGORY SCOTT GUYMON DDS, MS 1417060302
MARCUS LOWRY D.D.S. 1396843058
DR. ROBERT C. GAUDRY D.D.S., M.S. 1942374491
DR. MICHAEL D. PAYNE D.M.D., P.C. 1306968342
TROY ALAN SMITH DDS 1205020914
DR. MICHAEL L. GOLD D.M.D. 1669645388
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.