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

Dr. Paul Kenneth Clark III, DMD, MD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1689994923

Dr. Paul Kenneth Clark III, DMD, MD is an Oral and Maxillofacial Surgery (Dentist) in Twin Falls, Idaho. Practices as a sole proprietor and works from 2 locations. Licensed in Idaho and Utah.

Licensed in
ID, UT
In the registry since
2010
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1502 Locust St N Ste 103
Twin Falls, ID 83301-6375
Phone: (208) 831-2900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1404 Pomerelle Ave, Burley, ID 83318-2012 — (208) 831-2900

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 7829973-9922 (UT)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence D-5108-OS (ID)

Record details

NPI number1689994923
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MD
Sole proprietorYes
NPI enumeratedJune 9, 2010
Last updated in NPPESNovember 15, 2022
Certification dateNovember 15, 2022

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