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KIRBY CLENDENON DDS
NPI 1407957897
Dentist - General Practice in Caldwell, ID

Active since September 26, 2006
1711 S 10TH AVE, CALDWELL, ID 83605(208) 954-9217(208) 453-1037 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kirby Clendenon Dds NPPES

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

KIRBY CLENDENON DDS (NPI 1407957897) is a healthcare organization registered as a general practice in Caldwell, Idaho and active in the NPI registry since September 2006. The organization lists Kirby L Clendenon, President, as its authorized official.

NPPES Registry Identity

NPI1407957897
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKIRBY CLENDENON DDS
Location Address1711 S 10TH AVECaldwell, ID 83605-4839
Mailing Address1711 S 10th AveCaldwell, ID 83605-4839 · (208) 454-9217 · Fax (208) 453-1037
Phone(208) 954-9217
Fax(208) 453-1037
Organization SubpartNo
Authorized OfficialKirby L ClendenonPresident · (208) 454-9217
Enumeration DateSeptember 26, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1407957897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D1836
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1711 S 10TH AVE, Caldwell, ID 83605
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Other Identifiers 2

Other69096ID · B/c Of Id
Other839559ID · United Concordia

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. KIRBY LYNN CLENDENON DDS
Dentist (General Practice)
1711 S 10TH AVE
CALDWELL, ID 83605
Canyon County (208) 454-9217

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 Kirby Clendenon Dds's NPI number?

The NPI number for Kirby Clendenon Dds is 1407957897. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Kirby Clendenon Dds located?

Kirby Clendenon Dds is located at 1711 S 10th Ave, Caldwell, ID 83605. The listed phone number is (208) 954-9217.

What is Kirby Clendenon Dds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kirby Clendenon Dds was last updated on August 22, 2020. 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.