William Clay Lisenby in Macon - Orthodontics And Dentofacial Orthopedics
William Clay Lisenby - NPI 1558550236
William Clay Lisenby is a Orthodontics And Dentofacial Orthopedics in Macon, Georgia. William Clay Lisenby practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for William Clay Lisenby is 1558550236. The last update date is 2007-10-18.
William Clay Lisenby's current location address is 6336 Peake Rd, Macon, Georgia. You can contact this provider via phone number 4783305130 and fax number 4784057897. The mailing address for William Clay Lisenby is 6336 Peake Rd, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Clay Lisenby |
|---|---|
| Address | 6336 Peake Rd, Macon, Georgia |
| Phone Number | 4783305130 |
| Fax Number | 4784057897 |
| Sole Proprietor | Y |
| Credentials | D.D.S.,P.C |
NPI Number Detail
| NPI Number | 1558550236 |
|---|---|
| Provider Enumeration Date | 2007-10-18 |
| Last Updated Date | 2007-10-18 |
Provider Mailing Address Detail
| Address | 6336 Peake Rd |
|---|---|
| City | Macon |
| State | Georgia (GA) |
| Post Code | 312103960 |
| Phone Number | 4783305130 |
| Fax Number | 4784057897 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 1073 |
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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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What is the unique identification code assigned to William Clay Lisenby by the Centers for Medicare & Medicaid Services?
The William Clay Lisenby has been issued the NPI (National Provider Identifier) 1558550236. This 10-digit code 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 William Clay Lisenby?
The William Clay Lisenby is situated at 6336 Peake Rd, in the city of Macon, state of GA, with the zip code 312103960.
What is William Clay Lisenby'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 William Clay Lisenby is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.
When did the William Clay Lisenby receive its 1558550236?
The William Clay Lisenby was issued its 1558550236 on 2007-10-18, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to William Clay Lisenby, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to William Clay Lisenby, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-18.
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