Kenneth Spencer Carlough in Clinton - Orthodontics And Dentofacial Orthopedics

Kenneth Spencer Carlough - NPI 1548328370

Kenneth Spencer Carlough is a Orthodontics And Dentofacial Orthopedics in Clinton, Connecticut. Kenneth Spencer Carlough practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Kenneth Spencer Carlough is 1548328370. The last update date is 2007-07-08.

Kenneth Spencer Carlough's current location address is 248 East Main St, Clinton, Connecticut. You can contact this provider via phone number 8606691616 and fax number 8606694525. The mailing address for Kenneth Spencer Carlough is 248 East Main St, Clinton, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Spencer Carlough
Address 248 East Main St, Clinton, Connecticut
Phone Number 8606691616
Fax Number 8606694525
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1548328370
Provider Enumeration Date 2006-12-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 248 East Main St
City Clinton
State Connecticut (CT)
Post Code 6413
Phone Number 8606691616
Fax Number 8606694525

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 5609
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Kenneth Spencer Carlough

What is the unique provider identifier assigned to Kenneth Spencer Carlough?

The Kenneth Spencer Carlough has been issued the NPI (National Provider Identifier) 1548328370 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Kenneth Spencer Carlough?

The Kenneth Spencer Carlough is physically situated at 248 East Main St, in the city of Clinton, state of CT, with the postal code 6413.

What is the Kenneth Spencer Carlough's area of specialization and corresponding taxonomy classification?

The Kenneth Spencer Carlough's specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.

On what date did the Kenneth Spencer Carlough receive the assignment of its 1548328370 from the Centers for Medicare & Medicaid Services?

The Kenneth Spencer Carlough was issued its 1548328370 by the Centers for Medicare & Medicaid Services on 2006-12-05.

When was the information related to Kenneth Spencer Carlough most recently updated or refreshed?

The details pertaining to the Kenneth Spencer Carlough, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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