# KEVIN S CLIVE DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407772114
- **Authorized official:** KEVIN CLIVE DDS (DENTIST)
- **Authorized official phone:** (509) 293-3441

## Contact information

- **Practice address:** 246 DIVISION ST, LEAVENWORTH, WA 98826-1426
- **Practice address phone:** (509) 293-3441
- **Mailing address:** 2212 ASHLEY BROOKE, WENATCHEE, WA 98801-1358
- **Mailing address phone:** (509) 293-3441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/26/2026
- **Last updated:** 06/26/2026