# JACK D.KLURE, DDS PLLC

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

## Provider details

- **NPI number:** 1447419866
- **Authorized official:** DR. JACK D KLURE D.D.S. (OWNER)
- **Authorized official phone:** (208) 888-9399

## Contact information

- **Practice address:** 110 E USTICK RD, MERIDIAN, ID 83646-5502
- **Practice address phone:** (208) 888-9399
- **Practice address fax:** (208) 888-6115
- **Mailing address:** 110 E USTICK RD, MERIDIAN, ID 83646-5502
- **Mailing address phone:** (208) 888-9399
- **Mailing address fax:** (208) 888-6115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D3151 | ID | Yes |

## Other

- **Enumeration date:** 06/02/2008
- **Last updated:** 06/02/2008