CLOCK TOWER DENTAL PA
NPI 1720128432
Dentist - General Practice in Caldwell, ID

Active since February 08, 2007
4105 CLOCK TOWER AVE, CALDWELL, ID 83607(208) 455-9498 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clock Tower Dental Pa NPPES

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

CLOCK TOWER DENTAL PA (NPI 1720128432) is a healthcare organization registered as a general practice in Caldwell, Idaho and active in the NPI registry since February 2007. The organization lists Darin R Mooso, Dentist, as its authorized official.

NPPES Registry Identity

NPI1720128432
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCLOCK TOWER DENTAL PA
Location Address4105 CLOCK TOWER AVECaldwell, ID 83607-5006
Mailing Address4105 Clock Tower AveCaldwell, ID 83607-5006 · (208) 455-9498
Organization SubpartNo
Authorized OfficialDarin R MoosoDentist · (208) 455-9498
Enumeration DateFebruary 8, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1720128432 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 · D3237
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.
4105 CLOCK TOWER AVE, Caldwell, ID 83607

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

Accepted Insurance

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)
4105 CLOCK TOWER AVE
CALDWELL, ID 83607
Dentist
4105 CLOCK TOWER AVE
CALDWELL, ID 83607
Dentist
4105 CLOCK TOWER AVE
CALDWELL, ID 83607
Dentist
4105 CLOCK TOWER AVE
CALDWELL, ID 83607

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 Clock Tower Dental PA's NPI number?

The NPI number for Clock Tower Dental PA is 1720128432. It was assigned to this organization in the NPPES registry on February 8, 2007.

Where is Clock Tower Dental PA located?

Clock Tower Dental PA is located at 4105 Clock Tower Ave, Caldwell, ID 83607. The listed phone number is (208) 455-9498.

What is Clock Tower Dental PA's specialty?

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

What insurance does Clock Tower Dental PA accept?

Health plans from UnitedHealthcare list Clock Tower Dental PA 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 Clock Tower Dental PA 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.