Clock Tower Dental PA

General Practice Dentistry · Caldwell, ID

Organization Active NPI

NPI number 1720128432

Practice location

4105 Clock Tower Ave
Caldwell, ID 83607-5006
Phone
(208) 455-9498

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NPI record

NPI
1720128432
Entity type
Organization (Type 2)
Enumeration date
February 8, 2007
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D3237 ID

Authorized official

Name
Dr. Darin R Mooso, DDS
Title
Dentist
Phone
(208) 455-9498

About Clock Tower Dental PA

Clock Tower Dental PA is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4105 Clock Tower Ave, Caldwell, ID 83607-5006. The NPI number 1720128432 was assigned on February 8, 2007 and the record was last updated on August 22, 2020.

Clock Tower Dental PA lists a license in the registry: #D3237 (ID) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Darin R Mooso, DDS, Dentist.

Frequently asked questions

What is the NPI number of Clock Tower Dental PA?

The NPI number is 1720128432.

What is the phone number of Clock Tower Dental PA?

The phone number listed for the practice location is (208) 455-9498.

Where is Clock Tower Dental PA located?

4105 Clock Tower Ave, Caldwell, ID 83607-5006.

What is the taxonomy code for Clock Tower Dental PA?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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