Clinton Larry Blake in Newcastle - General Practice
Clinton Larry Blake - NPI 1649328782
Clinton Larry Blake is a General Practice in Newcastle, Oklahoma. Clinton Larry Blake practices all healthcare services and medical treatments related to General Practice. The NPI Number for Clinton Larry Blake is 1649328782. The last update date is 2011-09-20.
Clinton Larry Blake's current location address is 2820 Nw 32nd St, Newcastle, Oklahoma. You can contact this provider via phone number 4053924883 and fax number 4053924889. The mailing address for Clinton Larry Blake is 2820 Nw 32nd St, Newcastle, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clinton Larry Blake |
|---|---|
| Address | 2820 Nw 32nd St, Newcastle, Oklahoma |
| Phone Number | 4053924883 |
| Fax Number | 4053924889 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1649328782 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2011-09-20 |
Provider Mailing Address Detail
| Address | 2820 Nw 32nd St |
|---|---|
| City | Newcastle |
| State | Oklahoma (OK) |
| Post Code | 730656576 |
| Phone Number | 4053924883 |
| Fax Number | 4053924889 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4950075-9922 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Post Comment/ Review Below
What is the unique identifier code issued to Clinton Larry Blake by the Centers for Medicare & Medicaid Services?
The Clinton Larry Blake has been assigned the NPI (National Provider Identifier) 1649328782. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Clinton Larry Blake's facilities are geographically located?
The facilities of Clinton Larry Blake are physically situated at the following location: 2820 Nw 32Nd St, Newcastle, OK, 730656576.
What is the Clinton Larry Blake's area of specialization and corresponding taxonomy classification?
The Clinton Larry Blake's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1649328782 to Clinton Larry Blake?
The Clinton Larry Blake received its 1649328782 assignment from the Centers for Medicare & Medicaid Services on 2007-01-08.
As of what date was the information regarding Clinton Larry Blake, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Clinton Larry Blake, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-09-20.
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