OrganizationActive
Clock Tower Orthodontics, PC
NPI 1942471966 · Orthodontics and Dentofacial Orthopedics Dentistry · Caldwell, ID
Provider details
- NPI number
- 1942471966
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Loren Short, President(208) 454-4112
- License
- D-4121-OR (ID)
Specialties & taxonomies
Dental Providers
Practice location
4203 Clock Tower Ave
Caldwell, ID 83607-5236
Phone: (208) 454-4112
Fax: (208) 454-5155
Approximate (ZIP-level) locationGet directions
Mailing address
4203 Clock Tower Ave
Caldwell, ID 83607-5236
Registry dates
- Enumerated
- 2008-03-18
- Last updated
- 2008-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.