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

Russell C. Pool, DMD, PA

Organization Dental Clinic/Center · NPI 1093977647

Russell C. Pool, DMD, PA is a Dental Clinic/Center in Nampa, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

109 12th Ave Rd
Nampa, ID 83686-5047
Phone: (208) 467-2545
Fax: (208) 466-3607
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence D1687 (ID)

Record details

NPI number1093977647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Pool — President · (208) 467-2545
NPI enumeratedJune 25, 2008
Last updated in NPPESJune 25, 2008
Mailing address109 12th Ave Rd, Nampa, ID 83686-5047

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