SearchIdahoOrthodontics and Dentofacial Orthopedics Dentistry

Clark Knowlton, D.D.S

NPI 1386093219 · on the registry since 2016 · sole proprietor

Practice

Address
543 W Gable St
Meridian, ID 83646
Phone
(310) 562-8760

Registry record

Primary taxonomy
Orthodontics and Dentofacial Orthopedics Dentistry
1223X0400X
Also registered as
Dentist
Student in an Organized Health Care Education/Training Program
Licence states on file
NM, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-05-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho