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

Dr. Clark U Knowlton, DDS

Individual provider Dentist · NPI 1386093219

Dr. Clark U Knowlton, DDS is a Dentist in Meridian, Idaho. Practices as a sole proprietor. Licensed in Idaho and New Mexico.

Licensed in
ID, NM
In the registry since
2016
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

543 W Gable St
Meridian, ID 83646-6355
Phone: (310) 562-8760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence D-5193-OR (ID)
Dentist Taxonomy 122300000X · Licence DD5108 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386093219
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 10, 2016
Last updated in NPPESMay 5, 2021
Certification dateMay 5, 2021
Mailing address111 E 210th St, Bronx, NY 10467-2401

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