NPI 1144568924 DR. CLYDE WALLACE STOCK D.D.S. FREEDOM WY. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Clyde Wallace Stock - NPI: 1144568924

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. CLYDE WALLACE STOCK
NPI Number: 1144568924
Entity Type Code: Individual (1)
Gender: M
Credentials: D.D.S.
License Number: 472
Business Practice Address: 156 County Road 114
Freedom, WY - 83120
Business Phone Number: 3078802760
Business Fax Number:
Mailing Address: Po Box 227,
FREEDOM
State: WY
Postal Code: 83120
Phone Number: 3078802760
Fax Number:
NPI Enumeration Date: 01/29/2013
NPI Last Update Date: 01/29/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 204E00000X
License Number: 472
Healthcare Provider Taxonomy:
(Secondary)
Y
State: WY
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Oral & Maxillofacial Surgery
Taxonomy Specialization:
Taxonomy Definition:


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