Richard Wade Corley in Mcalester - Orthodontics And Dentofacial Orthopedics

Richard Wade Corley - NPI 1720103468

Richard Wade Corley is a Orthodontics And Dentofacial Orthopedics in Mcalester, Oklahoma. Richard Wade Corley practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Richard Wade Corley is 1720103468. The last update date is 2007-07-08.

Richard Wade Corley's current location address is 215 E Choctaw Ave, Mcalester, Oklahoma. You can contact this provider via phone number 9184232628. The mailing address for Richard Wade Corley is 215 E Choctaw Ave, Mcalester, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Wade Corley
Address 215 E Choctaw Ave, Mcalester, Oklahoma
Phone Number 9184232628
Fax Number
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1720103468
Provider Enumeration Date 2007-03-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 215 E Choctaw Ave
City Mcalester
State Oklahoma (OK)
Post Code 745015068
Phone Number 9184232628
Fax Number

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 2923
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 Richard Wade Corley

What is the unique identification code assigned to Richard Wade Corley by the Centers for Medicare & Medicaid Services?

The Richard Wade Corley has been issued the NPI (National Provider Identifier) 1720103468. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Richard Wade Corley's facilities are situated?

The facilities of Richard Wade Corley are physically located at the following address: 215 E Choctaw Ave, Mcalester, OK, 745015068.

What is Richard Wade Corley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Richard Wade Corley's specialized field of practice is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1720103468 to Richard Wade Corley?

The Centers for Medicare & Medicaid Services assigned the 1720103468 to Richard Wade Corley on 2007-03-20.

As of what date were the details pertaining to Richard Wade Corley last refreshed?

The information related to the Richard Wade Corley, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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