NPI age
5 years
Enumerated 2020-08-05
● Active Type 2 · Organization
Club 32 Dental
Club 32 Dental 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
Keller
Owner
Last NPPES update
2022-02-24
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
5 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-08Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
624 3rd St S
Nampa, ID 836513840
Mailing address
624 3rd St S
Nampa, ID 836513840
Authorized official
Kim Benson Keller, DDS
Owner
📞 2085058586
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Stephen Bryant, DMD Dentist NPI 1447863956
- Trent Stucki, DMD Dentist NPI 1265121784
- Todd Taylor Dentist NPI 1467191569
- Courtney Willis, DMD Dentist NPI 1275102386
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 4 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.