Clinton Wade Emerson in Broken Arrow - Orthodontics And Dentofacial Orthopedics
Clinton Wade Emerson - NPI 1285858985
Clinton Wade Emerson is a Orthodontics And Dentofacial Orthopedics in Broken Arrow, Oklahoma. Clinton Wade Emerson practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Clinton Wade Emerson is 1285858985. The last update date is 2019-12-02.
Clinton Wade Emerson's current location address is 800 W Mission St, Broken Arrow, Oklahoma. You can contact this provider via phone number 9184590092 and fax number 9184550270. The mailing address for Clinton Wade Emerson is 800 W Mission St, Broken Arrow, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clinton Wade Emerson |
|---|---|
| Address | 800 W Mission St, Broken Arrow, Oklahoma |
| Phone Number | 9184590092 |
| Fax Number | 9184550270 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1285858985 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2019-12-02 |
Provider Mailing Address Detail
| Address | 800 W Mission St |
|---|---|
| City | Broken Arrow |
| State | Oklahoma (OK) |
| Post Code | 740122599 |
| Phone Number | 9184590092 |
| Fax Number | 9184550270 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | SPECIALTY 15 |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Clinton Wade Emerson by the Centers for Medicare & Medicaid Services (CMS)?
The Clinton Wade Emerson has been assigned the NPI (National Provider Identifier) 1285858985. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Clinton Wade Emerson?
The Clinton Wade Emerson is physically situated at 800 W Mission St, in the city of Broken Arrow, state of OK, with the postal code 740122599.
What is Clinton Wade Emerson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Clinton Wade Emerson's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1285858985 to Clinton Wade Emerson?
The Clinton Wade Emerson received its 1285858985 assignment from the Centers for Medicare & Medicaid Services on 2007-04-12.
When was the Clinton Wade Emerson's information last updated?
The Clinton Wade Emerson's information was last updated on 2019-12-02.