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McKee Idaho Dental

NPI 1972319085ActiveOrganization· Dentist· Pocatello, ID

Dentist in Pocatello, Idaho, registered in NPPES in December 2024. The authorized official on file is Paul Clark, DMD, MD, Owner.

Overview

NPI1972319085
StatusActive
Entity typeOrganization
NPI issuedDec 4, 2024
Last updated in NPPESDec 9, 2024
Certified by providerDec 9, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist providers in Pocatello

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