# CLEARWATER ENDODONTICS, P.L.L.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1427663830
- **Authorized official:** DR. MATTHEW CLEGG DDS, MS (MANAGING PARTNER)
- **Authorized official phone:** (509) 254-3975

## Contact information

- **Practice address:** 802 7TH ST, CLARKSTON, WA 99403-2022
- **Practice address phone:** (509) 758-4181
- **Practice address fax:** (509) 758-4756
- **Mailing address:** 802 7TH ST, CLARKSTON, WA 99403-2022
- **Mailing address phone:** (509) 758-4181
- **Mailing address fax:** (509) 758-4756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 09/11/2020
- **Last updated:** 09/11/2020