Richard J Claydon in Bloomington - Oral And Maxillofacial Surgery
Richard J Claydon - NPI 1669533964
Richard J Claydon is a Oral And Maxillofacial Surgery in Bloomington, Illinois. Richard J Claydon practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Richard J Claydon is 1669533964. The last update date is 2007-07-08.
Richard J Claydon's current location address is 107 S Prospect, Bloomington, Illinois. You can contact this provider via phone number 3096629318 and fax number 3096628331. The mailing address for Richard J Claydon is 107 S Prospect, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard J Claydon |
|---|---|
| Address | 107 S Prospect, Bloomington, Illinois |
| Phone Number | 3096629318 |
| Fax Number | 3096628331 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1669533964 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 107 S Prospect |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 61704 |
| Phone Number | 3096629318 |
| Fax Number | 3096628331 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
|
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 |
|---|---|---|---|
| 755134 | UNITED CONCORDIA | ||
| 80115928 | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Richard J Claydon's 1669533964?
The Richard J Claydon's NPI (National Provider Identifier) Number is 1669533964. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Richard J Claydon?
The Richard J Claydon is situated at 107 S Prospect, in the city of Bloomington, state of IL, with the zip code 61704.
What is Richard J Claydon'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 Richard J Claydon is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1669533964 to Richard J Claydon?
The Richard J Claydon received its 1669533964 assignment from the Centers for Medicare & Medicaid Services on 2006-12-12.
When was the Richard J Claydon's information last updated?
The Richard J Claydon's information was last updated on 2007-07-08.
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