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Kirby Clendenon Dds
General Practice Dentistry in Caldwell, Idaho
NPI 1407957897

Kirby Clendenon Dds is a General Practice Dentistry based in Caldwell, ID and is specialized in General Practice. Kirby Clendenon Dds practices in Caldwell, ID. The NPI Number for Kirby Clendenon Dds is 1407957897 and holds a License No. D1836 (Idaho).

The current practice location address for Kirby Clendenon Dds is 1711 S 10Th Ave, Caldwell, ID and can be reached out via phone at 208-954-9217 and via fax at 208-453-1037.

Location: 1711 S 10Th Ave, Caldwell, ID, 83605-4839
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407957897
Provider Name
Kirby Clendenon Dds
Credential
Provider Entity Type
Organization
Address
1711 S 10Th Ave, Caldwell, ID, 83605-4839
Phone Number
208-954-9217
Fax Number
208-453-1037
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
839559 01 ID UNITED CONCORDIA
69096 01 ID B/C OF ID
institution
Provider Business Practice Location Address Details
Address
1711 S 10Th Ave
City
Caldwell
State
Idaho
Zip
83605-4839
Phone Number
208-954-9217
Fax Number
208-453-1037
person
Provider Business Mailing Address Details
Address
1711 S 10Th Ave
City
Caldwell
State
Idaho
Zip
83605-4839
Phone Number
208-954-9217
Fax Number
208-453-1037
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D1836 (Idaho)
Definition
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.
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