NPI age
15 years
Enumerated 2010-06-09
● Active
Type 1 · Individual
DR. Paul Kenneth Clark III, D.M.D, M.D.
Clark is 1 of 9 dentist providers in Twin Falls and 1 of 64 in Idaho.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
UT, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-11-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 64 active dentist providers in Idaho.
NPI age
15 years
↓ 2 yr below median (17 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
17% of peers hold subspecialties
NPI lifetime · 2010 → 2026
2010-06Enumerated in NPPES
2010
2026
Where they practice
Practice location
1502 Locust St N Ste 103
Twin Falls, ID 833016375
Mailing address
1502 Locust St N Ste 103
Twin Falls, ID 833016375
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1404 Pomerelle Ave
Burley, ID 833182012
Specialties
-
Dentist PrimaryThe specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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