1477688547 NPI number — JACK D CLIFTON, DDS, PS

Table of content: (NPI 1477688547)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477688547 NPI number — JACK D CLIFTON, DDS, PS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JACK D CLIFTON, DDS, PS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477688547
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 709
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STEVENSON
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98648-0709
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-427-8605
Provider Business Mailing Address Fax Number:
509-427-5711

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
52 NW SECOND STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STEVENSON
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98648-0709
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-427-8605
Provider Business Practice Location Address Fax Number:
509-427-5711
Provider Enumeration Date:
02/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CLIFTON
Authorized Official First Name:
JACK
Authorized Official Middle Name:
DIETERICH
Authorized Official Title or Position:
GENERAL DENTIST
Authorized Official Telephone Number:
509-427-8605

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X , with the licence number:  6156 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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