CLUB 32 DENTAL
NPI 1720698608
Clinic/Center - Dental in Nampa, ID

Active since August 05, 2020
624 3RD ST S, NAMPA, ID 83651(208) 466-2456(208) 318-0227 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 24, 2022, Jul 1, 2021, Aug 5, 2020 (3 updates tracked since 2020).

  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance

About CLUB 32 DENTAL

This page provides the complete NPI Profile along with additional information for Club 32 Dental, a provider established in Nampa, Idaho operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1720698608 assigned on August 2020. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Kim Benson Keller Dds (Owner)

NPI
1720698608 Verify this NPI
Provider Name
CLUB 32 DENTAL
Entity Type
Organization
Location Address
624 3RD ST S NAMPA, ID 83651
Location Phone
(208) 466-2456
Location Fax
(208) 318-0227
Mailing Address
624 3RD ST S NAMPA, ID 83651
Mailing Phone
(208) 505-8586
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-05-2020
Last Update Date
02-24-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIM BENSON KELLER DDS

Authorized Official Title
OWNER
Authorized Official Phone
(208) 505-8586

Reviews for CLUB 32 DENTAL

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Dentist (General Practice)
624 3RD ST S
NAMPA, ID 83651
Dentist (General Practice)
624 3RD ST S
NAMPA, ID 83651
Dentist (General Practice)
624 3RD ST S
NAMPA, ID 83651

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720698608, enumerated as an "organization" on August 05, 2020.

The provider is located at 624 3RD ST S NAMPA, ID 83651 and the phone number is (208) 466-2456.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.