Clinton Wilkinson Evans in Dothan - Oral And Maxillofacial Surgery
Clinton Wilkinson Evans - NPI 1093799009
Clinton Wilkinson Evans is a Oral And Maxillofacial Surgery in Dothan, Alabama. Clinton Wilkinson Evans practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Clinton Wilkinson Evans is 1093799009. The last update date is 2012-09-18.
Clinton Wilkinson Evans's current location address is 35 Hampton Way, Dothan, Alabama. You can contact this provider via phone number 3347921158 and fax number 3347026983. The mailing address for Clinton Wilkinson Evans is 35 Hampton Way, Dothan, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clinton Wilkinson Evans |
|---|---|
| Address | 35 Hampton Way, Dothan, Alabama |
| Phone Number | 3347921158 |
| Fax Number | 3347026983 |
| Sole Proprietor | N |
| Credentials | M.D., D.M. |
NPI Number Detail
| NPI Number | 1093799009 |
|---|---|
| Provider Enumeration Date | 2005-12-02 |
| Last Updated Date | 2012-09-18 |
Provider Mailing Address Detail
| Address | 35 Hampton Way |
|---|---|
| City | Dothan |
| State | Alabama (AL) |
| Post Code | 363056319 |
| Phone Number | 3347921158 |
| Fax Number | 3347026983 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 22785 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 95652 | AL | -- | |
| 51097740 | AL | BCBSAL ENTERPRISE OFFICE | |
| 51095652 | AL | BCBSAL DOTHAN OFFICE | |
| 766464 | AL | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Clinton Wilkinson Evans?
The Clinton Wilkinson Evans has been issued the NPI (National Provider Identifier) 1093799009 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Clinton Wilkinson Evans's facilities are situated?
The facilities of Clinton Wilkinson Evans are physically located at the following address: 35 Hampton Way, Dothan, AL, 363056319.
What is Clinton Wilkinson Evans's specialized field of practice, and what is the corresponding taxonomy classification code?
The Clinton Wilkinson Evans's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
When did Clinton Wilkinson Evans receive its 1093799009 assignment?
The Clinton Wilkinson Evans was assigned its 1093799009 on 2005-12-02, which is the date when this unique identifier was issued to the organization.
When was the information related to Clinton Wilkinson Evans most recently updated or refreshed?
The details pertaining to the Clinton Wilkinson Evans, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-09-18.