person
Dr. Paul Kenneth Clark III, DMD,MD
Oral and Maxillofacial Surgery (Dentist) in Twin Falls, Idaho
NPI 1689994923

Paul Kenneth Clark III is a Oral and Maxillofacial Surgery (Dentist) based in Twin Falls, ID and is specialized in Oral and Maxillofacial Surgery. Paul Kenneth Clark III practices in Twin Falls, ID and has the professional credentials of DMD,MD. The NPI Number for Paul Kenneth Clark III is 1689994923 and holds a License No. D-5108-OS (Idaho).

The current practice location address for Paul Kenneth Clark III is 1502 Locust St N Ste 103, Twin Falls, ID and can be reached out via phone at 208-831-2900.

Location: 1502 Locust St N Ste 103, Twin Falls, ID, 83301-6375
person
Provider Profile Details
NPI Number
1689994923
Provider Name
Paul Kenneth Clark III
Credential
DMD,MD
Provider Entity Type
Individual
Gender
Male
Address
1502 Locust St N Ste 103, Twin Falls, ID, 83301-6375
Phone Number
208-831-2900
Fax Number
Provider Enumeration Date
06/09/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1502 Locust St N Ste 103
City
State
Zip
83301-6375
Phone Number
208-831-2900
Fax Number
person
Provider Business Mailing Address Details
Address
1502 Locust St N Ste 103
City
State
Zip
83301-6375
Phone Number
208-831-2900
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
D-5108-OS (Idaho)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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