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CLEARWATER DENTAL PLLC
NPI 1215628268
Clinic/Center - Dental in Nampa, ID

Active since May 18, 2023
3161 E GREENHURST RD, NAMPA, ID 83686(208) 466-9915 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clearwater Dental Pllc NPPES

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

CLEARWATER DENTAL PLLC (NPI 1215628268) is a healthcare organization registered as a dental in Nampa, Idaho and active in the NPI registry since May 2023. The organization lists Sean Wasden, Coo, as its authorized official.

NPPES Registry Identity

NPI1215628268
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCLEARWATER DENTAL PLLC
Location Address3161 E GREENHURST RDNampa, ID 83686-8655
Mailing Address624 3rd St SNampa, ID 83651-3840 · (208) 965-9415
Phone(208) 466-9915
Organization SubpartNo
Authorized OfficialSean WasdenCoo · (208) 965-9415
Enumeration DateMay 18, 2023
NPPES CertifiedMay 18, 2023
✔ NPI 1215628268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3161 E GREENHURST RD, Nampa, ID 83686
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Other Providers at the Same Location NPPES 2

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

AAT INVESTMENTS, P.C.
Dentist (General Practice)
3161 E GREENHURST RD
NAMPA, ID 83686
Canyon County (208) 466-9915
ZOLA DENTAL NAMPA, LLC
Clinic/Center (Dental)
3161 E GREENHURST RD
NAMPA, ID 83686
Canyon County (208) 466-9915

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 Clearwater Dental PLLC's NPI number?

The NPI number for Clearwater Dental PLLC is 1215628268. It was assigned to this organization in the NPPES registry on May 18, 2023.

Where is Clearwater Dental PLLC located?

Clearwater Dental PLLC is located at 3161 E Greenhurst Rd, Nampa, ID 83686. The listed phone number is (208) 466-9915.

What is Clearwater Dental PLLC'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 Clearwater Dental PLLC was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.