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Dr. Kirby Lynn Clendenon, DDS
General Practice Dentistry in Caldwell, Idaho
NPI 1942311196

Kirby Lynn Clendenon is a General Practice Dentistry based in Caldwell, ID and is specialized in General Practice. Kirby Lynn Clendenon practices in Caldwell, ID and has the professional credentials of DDS. The NPI Number for Kirby Lynn Clendenon is 1942311196 and holds a License No. D1836 (Idaho).

The current practice location address for Kirby Lynn Clendenon is 1711 S 10Th Ave, Caldwell, ID and can be reached out via phone at 208-454-9217 and via fax at 208-453-1037.

Location: 1711 S 10Th Ave, Caldwell, ID, 83605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942311196
Provider Name
Kirby Lynn Clendenon
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1711 S 10Th Ave, Caldwell, ID, 83605
Phone Number
208-454-9217
Fax Number
208-453-1037
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
69096 01 BC OF ID
839559 01 UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
1711 S 10Th Ave
City
Caldwell
State
Idaho
Zip
83605
Phone Number
208-454-9217
Fax Number
208-453-1037
person
Provider Business Mailing Address Details
Address
1711 S 10Th Ave
City
Caldwell
State
Idaho
Zip
83605
Phone Number
208-454-9217
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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