OrganizationActive
Club 32 Dental Caldwell PLLC
NPI 1033796305 · General Practice Dentistry · Caldwell, ID
Club 32 Dental Caldwell PLLC is a General Practice Dentistry organization in Caldwell, ID (NPI 1033796305).
Provider details
- NPI number
- 1033796305
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kim Keller, Owner(208) 506-3233
Practice location
1916 Ellis Ave
Caldwell, ID 83605-4811
Phone: (208) 466-2456
Street-level locationGet directions
Mailing address
624 3rd St S
Nampa, ID 83651-3840
Registry dates
- Enumerated
- 2021-03-24
- Last updated
- 2022-03-10
- Certified
- 2022-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.