Clifford L Brock in Portland - General Practice
Clifford L Brock - NPI 1275531915
Clifford L Brock is a General Practice in Portland, Oregon. Clifford L Brock practices all healthcare services and medical treatments related to General Practice. The NPI Number for Clifford L Brock is 1275531915. The last update date is 2007-07-08.
Clifford L Brock's current location address is 3418 Se Belmont St, Portland, Oregon. You can contact this provider via phone number 5032363706. The mailing address for Clifford L Brock is 3418 Se Belmont St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clifford L Brock |
|---|---|
| Address | 3418 Se Belmont St, Portland, Oregon |
| Phone Number | 5032363706 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1275531915 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3418 Se Belmont St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972144247 |
| Phone Number | 5032363706 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5673 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Clifford L Brock by the Centers for Medicare & Medicaid Services?
The Clifford L Brock has been issued the NPI (National Provider Identifier) 1275531915, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Clifford L Brock located?
The Clifford L Brock is located at 3418 Se Belmont St, Portland, OR 972144247.
What is Clifford L Brock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Clifford L Brock's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275531915 to Clifford L Brock?
The Clifford L Brock received its 1275531915 assignment from the Centers for Medicare & Medicaid Services on 2005-07-07.
As of what date was the information regarding Clifford L Brock, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Clifford L Brock, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.