RUSSELL C. POOL, DMD, PA
NPI 1093977647
Clinic/Center - Dental in Nampa, ID

Active since June 25, 2008
109 12TH AVE RD, NAMPA, ID 83686(208) 467-2545(208) 466-3607 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russell C. Pool, Dmd, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL C. POOL, DMD, PA (NPI 1093977647) is a healthcare organization registered as a dental in Nampa, Idaho and active in the NPI registry since June 2008. The organization lists Russell C. Pool, President, as its authorized official.

NPPES Registry Identity

NPI1093977647
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameRUSSELL C. POOL, DMD, PA
Location Address109 12TH AVE RDNampa, ID 83686-5047
Mailing Address109 12th Ave RdNampa, ID 83686-5047 · (208) 467-2545 · Fax (208) 466-3607
Fax(208) 466-3607
Organization SubpartNo
Authorized OfficialRussell C. PoolPresident · (208) 467-2545
Enumeration DateJune 25, 2008
NPI 1093977647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in ID · D1687
109 12TH AVE RD, Nampa, ID 83686

Other Identifiers 1

Other66852ID · Blue Shield Of Idaho

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
109 12TH AVE RD
NAMPA, ID 83686
Dentist
109 12TH AVE RD
NAMPA, ID 83686
Dentist (General Practice)
109 12TH AVE RD
NAMPA, ID 83686
Dentist (General Practice)
109 12TH AVE RD
NAMPA, ID 83686

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell C. Pool, Dmd, PA's NPI number?

The NPI number for Russell C. Pool, Dmd, PA is 1093977647. It was assigned to this organization in the NPPES registry on June 25, 2008.

Where is Russell C. Pool, Dmd, PA located?

Russell C. Pool, Dmd, PA is located at 109 12th Ave Rd, Nampa, ID 83686. The listed phone number is (208) 467-2545.

What is Russell C. Pool, Dmd, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Russell C. Pool, Dmd, PA was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.