Mark C Clayton in Hinesville - Oral And Maxillofacial Surgery

Mark C Clayton - NPI 1770552549

Mark C Clayton is a Oral And Maxillofacial Surgery in Hinesville, Georgia. Mark C Clayton practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Mark C Clayton is 1770552549. The last update date is 2011-02-24.

Mark C Clayton's current location address is 4540 E Oglethorpe Hwy, Hinesville, Georgia. You can contact this provider via phone number 9123693692 and fax number 9123693938. The mailing address for Mark C Clayton is 4540 E Oglethorpe Hwy, Hinesville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark C Clayton
Address 4540 E Oglethorpe Hwy, Hinesville, Georgia
Phone Number 9123693692
Fax Number 9123693938
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1770552549
Provider Enumeration Date 2006-03-15
Last Updated Date 2011-02-24

Provider Mailing Address Detail

Address 4540 E Oglethorpe Hwy
City Hinesville
State Georgia (GA)
Post Code 313131431
Phone Number 9123693692
Fax Number 9123693938

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 11978
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00933567A GA --
1352952 GA UNITED CONCORDIA

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FAQs about Mark C Clayton

What is the unique 10-digit identification code assigned to Mark C Clayton by the Centers for Medicare & Medicaid Services?

The Mark C Clayton has been issued the NPI (National Provider Identifier) 1770552549, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Mark C Clayton?

The Mark C Clayton is situated at 4540 E Oglethorpe Hwy, in the city of Hinesville, state of GA, with the zip code 313131431.

What is the Mark C Clayton's specialty and taxonomy code?

The Mark C Clayton's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.

On what date did Mark C Clayton receive its 1770552549 assignment from the Centers for Medicare & Medicaid Services?

The Mark C Clayton was assigned its 1770552549 on 2006-03-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Mark C Clayton's details last updated?

The information pertaining to the Mark C Clayton, including its address, specialty, and other details, was most recently updated on 2011-02-24.

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