P Praxis·MD
● Active Type 1 · Individual

DR. Clark U Knowlton, D.D.S.

Dentist·Meridian, ID· NPI 1386093219 · Enumerated 2016 · 9 years on NPI
Knowlton is 1 of 15 dentist providers in Meridian and 1 of 135 in Idaho.
NPI age
9 years
Enumerated 2016-06-10
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
ID, NM
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-05-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 135 active dentist providers in Idaho.

NPI age
9 years
↓ 9 yr below median (18 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
2
In the 17% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-06Enumerated in NPPES
2016 2026

Where they practice

Practice location
543 W Gable St
Meridian, ID 836466355
📞 3105628760
Mailing address
111 E 210th St
Bronx, NY 104672401
📞 7189204321

Specialties

  • Dentist Primary
    That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
    ID license #D-5193-OR taxonomy 1223X0400X
  • Dentist
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    NM license #DD5108 taxonomy 122300000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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