DR. CLARK U KNOWLTON D.D.S.
NPI 1386093219
Dentist - Orthodontics and Dentofacial Orthopedics in Meridian, ID

Active since June 10, 2016
543 W GABLE ST, MERIDIAN, ID 83646(310) 562-8760 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Clark U Knowlton D.d.s. NPPES

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

DR. CLARK U KNOWLTON D.D.S. (NPI 1386093219) is an individual orthodontics and dentofacial orthopedics provider in Meridian, Idaho, licensed in Idaho (D-5193-OR) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1386093219
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. CLARK U KNOWLTONCredential: D.D.S.
Location Address543 W GABLE STMeridian, ID 83646-6355
Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-4321
Sole ProprietorYes
Enumeration DateJune 10, 2016
Last NPPES UpdateMay 5, 2021
NPPES CertifiedMay 5, 2021
NPI 1386093219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in ID · D-5193-OR
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentistTaxonomy 122300000X · License DD5108 (NM)
543 W GABLE ST, Meridian, ID 83646

Accepted Insurance

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 Clark Knowlton's NPI number?

The NPI number for Clark Knowlton is 1386093219. It was assigned to this individual provider in the NPPES registry on June 10, 2016.

Where is Clark Knowlton located?

Clark Knowlton practices at 543 W Gable St, Meridian, ID 83646. The listed phone number is (310) 562-8760.

What is Clark Knowlton's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Clark Knowlton accept?

Health plans from Renaissance Dental list Clark Knowlton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clark Knowlton was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.