NPI age
17 years
Enumerated 2008-06-25
● Active Type 2 · Organization
Russell C. Pool, Dmd, PA
Russell C. Pool, Dmd, PA is 1 of 202 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pool
President
Last NPPES update
2008-06-25
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
17 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
109 12th Ave Rd
Nampa, ID 836865047
Mailing address
109 12th Ave Rd
Nampa, ID 836865047
Authorized official
Russell C. Pool, DMD
President
📞 2084672545
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Kirk Jenkins, D.D.S. Dentist NPI 1972656130
- Kelly Mansfield, D.D.S. Dentist NPI 1982616983
- Spencer Romney, DMD Dentist NPI 1801784558
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 66852 | BLUE SHIELD OF IDAHO |
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.