Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clearwater Dental PLLC

Organization Dental Clinic/Center · NPI 1215628268

Clearwater Dental PLLC is a Dental Clinic/Center in Nampa, Idaho. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3161 E Greenhurst Rd
Nampa, ID 83686-8655
Phone: (208) 466-9915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1215628268
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sean Wasden — Coo · (208) 965-9415
NPI enumeratedMay 18, 2023
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023
Mailing address624 3rd St S, Nampa, ID 83651-3840

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