Brent Gilford Clark in Betsy Layne - Orthodontics And Dentofacial Orthopedics
Brent Gilford Clark - NPI 1508906751
Brent Gilford Clark is a Orthodontics And Dentofacial Orthopedics in Betsy Layne, Kentucky. Brent Gilford Clark practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Brent Gilford Clark is 1508906751. The last update date is 2007-07-08.
Brent Gilford Clark's current location address is Po Box 1, Betsy Layne, Kentucky. You can contact this provider via phone number 6064789090 and fax number 6064789191. The mailing address for Brent Gilford Clark is Po Box 1, Betsy Layne, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Gilford Clark |
|---|---|
| Address | Po Box 1, Betsy Layne, Kentucky |
| Phone Number | 6064789090 |
| Fax Number | 6064789191 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1508906751 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1 |
|---|---|
| City | Betsy Layne |
| State | Kentucky (KY) |
| Post Code | 416050001 |
| Phone Number | 6064789090 |
| Fax Number | 6064789191 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 4980 |
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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 Brent Gilford Clark by the Centers for Medicare & Medicaid Services?
The Brent Gilford Clark has been issued the NPI (National Provider Identifier) 1508906751. 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 Brent Gilford Clark?
The Brent Gilford Clark is situated at Po Box 1, in the city of Betsy Layne, state of KY, with the zip code 416050001.
What is the Brent Gilford Clark's specialty and taxonomy code?
The Brent Gilford Clark's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.
On what date was the 1508906751 assigned to Brent Gilford Clark?
The Brent Gilford Clark was issued its 1508906751 on 2007-02-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Brent Gilford Clark last refreshed?
The information related to the Brent Gilford Clark, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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