Clyde P. Houston Dds Inc in Tomah - General Practice
Clyde P. Houston Dds Inc - NPI 1730196486
Clyde P. Houston Dds Inc is a General Practice in Tomah, Wisconsin. Clyde P. Houston Dds Inc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Clyde P. Houston Dds Inc is 1730196486. The last update date is 2020-08-22.
Clyde P. Houston Dds Inc's current location address is 1220 Mark Ave, Tomah, Wisconsin. You can contact this provider via phone number 6083724455. The mailing address for Clyde P. Houston Dds Inc is 1220 Mark Ave, Tomah, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clyde P. Houston Dds Inc |
|---|---|
| Address | 1220 Mark Ave, Tomah, Wisconsin |
| Phone Number | 6083724455 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Houston Philip Clyde |
| Credentials | DDS |
| Telephone Number | 6083724455 |
NPI Number Detail
| NPI Number | 1730196486 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1220 Mark Ave |
|---|---|
| City | Tomah |
| State | Wisconsin (WI) |
| Post Code | 546601199 |
| Phone Number | 6083724455 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2815 |
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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 Clyde P. Houston Dds Inc's 1730196486?
The Clyde P. Houston Dds Inc's NPI (National Provider Identifier) Number is 1730196486. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Clyde P. Houston Dds Inc is physically located?
The Clyde P. Houston Dds Inc is situated at the following address: 1220 Mark Ave, Tomah, WI 546601199.
What is Clyde P. Houston Dds Inc's area of expertise and its corresponding taxonomy classification?
The Clyde P. Houston Dds Inc's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Clyde P. Houston Dds Inc receive its 1730196486 assignment from the Centers for Medicare & Medicaid Services?
The Clyde P. Houston Dds Inc was assigned its 1730196486 by the Centers for Medicare & Medicaid Services on 2006-08-02.
As of what date were the Clyde P. Houston Dds Inc's details last updated?
The information pertaining to the Clyde P. Houston Dds Inc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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