Clayton Gray Hicks in Jbsa Lackland - Dentist
Clayton Gray Hicks - NPI 1710972898
Clayton Gray Hicks is a Dentist in Jbsa Lackland, Texas. Clayton Gray Hicks practices all healthcare services and medical treatments related to Dentist. The NPI Number for Clayton Gray Hicks is 1710972898. The last update date is 2020-12-28.
Clayton Gray Hicks's current location address is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. You can contact this provider via phone number 2102920748. The mailing address for Clayton Gray Hicks is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clayton Gray Hicks |
|---|---|
| Address | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas |
| Phone Number | 2102920748 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1710972898 |
|---|---|
| Provider Enumeration Date | 2005-09-15 |
| Last Updated Date | 2020-12-28 |
Provider Mailing Address Detail
| Address | 1100 Wilford Hall Loop Bldg 4554 |
|---|---|
| City | Jbsa Lackland |
| State | Texas (TX) |
| Post Code | 782365638 |
| Phone Number | 2102920748 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3693 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Clayton Gray Hicks by the Centers for Medicare & Medicaid Services?
The Clayton Gray Hicks has been assigned the NPI (National Provider Identifier) 1710972898 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Clayton Gray Hicks's facilities are geographically located?
The facilities of Clayton Gray Hicks are physically situated at the following location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX, 782365638.
What is the area of specialization for Clayton Gray Hicks, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Clayton Gray Hicks is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1710972898 to Clayton Gray Hicks?
The Clayton Gray Hicks received its 1710972898 assignment from the Centers for Medicare & Medicaid Services on 2005-09-15.
When was the information regarding Clayton Gray Hicks most recently updated?
The details pertaining to the Clayton Gray Hicks, including its address, specialty, and other relevant information, were last refreshed on 2020-12-28.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY