CLARK ORAL & FACIAL SURGERY
NPI 1649040858
Dentist - Oral and Maxillofacial Surgery in Twin Falls, ID

Q: What is Clark Oral & Facial Surgery's NPI number?

The NPI number for Clark Oral & Facial Surgery is 1649040858. It was assigned to this organization in the NPPES registry on January 8, 2024.

Q: What is Clark Oral & Facial Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since January 08, 2024

1502 LOCUST ST N STE 103, TWIN FALLS, ID 83301(208) 831-2900 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Clark Oral & Facial Surgery NPPES

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

CLARK ORAL & FACIAL SURGERY (NPI 1649040858) is a healthcare organization registered as an oral and maxillofacial surgery in Twin Falls, Idaho and active in the NPI registry since January 2024. The organization lists Paul Clark, Surgeon, Owner, as its authorized official.

NPPES Registry Identity

NPI1649040858

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameCLARK ORAL & FACIAL SURGERY

Location Address1502 LOCUST ST N STE 103Twin Falls, ID 83301-6375

Mailing Address1502 Locust St N Ste 103Twin Falls, ID 83301-6375 · (208) 831-2900

Phone(208) 831-2900

Organization SubpartNo

Authorized OfficialPaul ClarkSurgeon, Owner · (503) 927-6845

Enumeration DateJanuary 8, 2024

NPPES CertifiedJanuary 8, 2024

✔ NPI 1649040858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1502 LOCUST ST N STE 103, Twin Falls, ID 83301

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Other Names 1

Doing Business AsClark Oral & Facial Surgery

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. PAUL KENNETH CLARK III D.M.D, M.D.

Dentist (Oral and Maxillofacial Surgery)

1502 LOCUST ST N STE 103
TWIN FALLS, ID 83301

Twin Falls County (208) 831-2900

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 Oral & Facial Surgery's NPI number?

The NPI number for Clark Oral & Facial Surgery is 1649040858. It was assigned to this organization in the NPPES registry on January 8, 2024.

Where is Clark Oral & Facial Surgery located?

Clark Oral & Facial Surgery is located at 1502 Locust St N Ste 103, Twin Falls, ID 83301. The listed phone number is (208) 831-2900.

What is Clark Oral & Facial Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Clark Oral & Facial Surgery was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.