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

DR. PAUL KENNETH CLARK III, D.M.D, M.D.

Active Sole Proprietor

DR. PAUL KENNETH CLARK III, D.M.D, M.D. is a Oral & Maxillofacial Surgery healthcare provider located in TWIN FALLS, Idaho. NPI 1689994923 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · TWIN FALLS, ID

Registration Details

NPI Number
1689994923
Provider Type
Individual
Gender
Male
NPI Issued
Jun 9, 2010 (16.153012615763 yrs)
Last Updated
Nov 15, 2022
Licenses
D-5108-OS (ID)
7829973-9922 (UT)
Sole Proprietor
Yes

Practice Information

Address
1502 LOCUST ST N STE 103
TWIN FALLS, ID, 833016375
Browse ID providers · Browse ZIP 83301
Phone
2088312900
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in TWIN FALLS, ID

Name Credential NPI
DR. MARK A PLANT DDS, PA 1972519551
DR. TIMOTHY TED HOPKINS DDS, MS 1376689646
DR. VINCENT L WILLIAMS DMD,PA 1376685982
DR. JARED MATTHEW BITNER DDS 1023679149
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.