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Clark Oral & Facial Surgery — NPI 1649040858, Twin Falls, ID | NPI Central

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NPI 1649040858

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Clark Oral & Facial Surgery

NPI 1649040858 · Oral and Maxillofacial Surgery (Dentist) · Twin Falls, ID

Provider details

NPI number: 1649040858
Entity type: Organization
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Organization subpart: No
Authorized official: Paul Clark, Surgeon, Owner(503) 927-6845

Specialties & taxonomies

Oral and Maxillofacial Surgery (Dentist)Primary1223S0112X
Dental Providers

Practice location

1502 Locust St N Ste 103

Twin Falls, ID 83301-6375

Phone: (208) 831-2900

Approximate (ZIP-level) locationGet directions

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Mailing address

1502 Locust St N Ste 103

Twin Falls, ID 83301-6375

Other names (DBA / former)

Doing business as: Clark Oral & Facial Surgery

Registry dates

Enumerated: 2024-01-08
Last updated: 2024-01-08
Certified: 2024-01-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.