Jack Dieterich Clifton in Stevenson - General Practice
Jack Dieterich Clifton - NPI 1568597631
Jack Dieterich Clifton is a General Practice in Stevenson, Washington. Jack Dieterich Clifton practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jack Dieterich Clifton is 1568597631. The last update date is 2007-07-08.
Jack Dieterich Clifton's current location address is Po Box 709, Stevenson, Washington. You can contact this provider via phone number 5094278605 and fax number 5094275711. The mailing address for Jack Dieterich Clifton is Po Box 709, Stevenson, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Dieterich Clifton |
|---|---|
| Address | Po Box 709, Stevenson, Washington |
| Phone Number | 5094278605 |
| Fax Number | 5094275711 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1568597631 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 709 |
|---|---|
| City | Stevenson |
| State | Washington (WA) |
| Post Code | 986480709 |
| Phone Number | 5094278605 |
| Fax Number | 5094275711 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 6156 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Jack Dieterich Clifton?
The Jack Dieterich Clifton has been issued the NPI (National Provider Identifier) 1568597631 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jack Dieterich Clifton's facilities are geographically located?
The facilities of Jack Dieterich Clifton are physically situated at the following location: Po Box 709, Stevenson, WA, 986480709.
What is Jack Dieterich Clifton's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jack Dieterich Clifton is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1568597631 to Jack Dieterich Clifton?
The Centers for Medicare & Medicaid Services assigned the 1568597631 to Jack Dieterich Clifton on 2007-02-22.
As of what date were the details pertaining to Jack Dieterich Clifton last refreshed?
The information related to the Jack Dieterich Clifton, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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