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

Club 32 Dental Caldwell PLLC

Organization General Practice Dentistry · NPI 1033796305

Club 32 Dental Caldwell PLLC is a General Practice Dentistry in Caldwell, Idaho. Registered with an NPI since 2021.

In the registry since
2021
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

1916 Ellis Ave
Caldwell, ID 83605-4811
Phone: (208) 466-2456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1033796305
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Keller — Owner · (208) 506-3233
NPI enumeratedMarch 24, 2021
Last updated in NPPESMarch 10, 2022
Certification dateMarch 10, 2022
Mailing address624 3rd St S, Nampa, ID 83651-3840

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