OrganizationActive
Russell C. Pool, DMD, PA
NPI 1093977647 · Dental Clinic/Center · Nampa, ID
Russell C. Pool, DMD, PA is a Dental Clinic/Center organization in Nampa, ID (NPI 1093977647).
Provider details
- NPI number
- 1093977647
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Russell Pool, President(208) 467-2545
- License
- D1687 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
109 12th Ave Rd
Nampa, ID 83686-5047
Phone: (208) 467-2545
Fax: (208) 466-3607
Street-level locationGet directions
Mailing address
109 12th Ave Rd
Nampa, ID 83686-5047
Registry dates
- Enumerated
- 2008-06-25
- Last updated
- 2008-06-25
Frequently asked questions
- What is Russell C. Pool, DMD, PA's NPI number?
- Russell C. Pool, DMD, PA's National Provider Identifier (NPI) is 1093977647, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Russell C. Pool, DMD, PA?
- Russell C. Pool, DMD, PA is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Russell C. Pool, DMD, PA located?
- Russell C. Pool, DMD, PA's practice location on file with NPPES is 109 12th Ave Rd, Nampa, ID 83686-5047.
- What is Russell C. Pool, DMD, PA's phone number?
- The practice phone number listed in the NPPES registry for Russell C. Pool, DMD, PA is (208) 467-2545.
- Who is the authorized official for Russell C. Pool, DMD, PA?
- The authorized official listed on Russell C. Pool, DMD, PA's NPPES record is Russell Pool, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Russell C. Pool, DMD, PA's NPI active?
- Yes — Russell C. Pool, DMD, PA's NPI (1093977647) is active in the NPPES registry as of the last update on 2008-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.