Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Club 32 Dental Caldwell PLLC

Organization General Practice Dentistry · NPI 1033796305

Club 32 Dental Caldwell PLLC provides 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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