Individual provider · Type 1 NPI

Chad Clifton Street, DMD, MD

Oral and Maxillofacial Surgery (Dentist) · Pikeville, KY

NPI number 1992715288 Active

Practice location

129 Loraine St
Pikeville, KY 41501-3757

Fax (606) 432-9689

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X7103 (KY)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X38532 (KY)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1992715288

Chad Clifton Street, DMD, MD's National Provider Identifier is 1992715288, issued on Aug 9, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Pikeville, KY. The record was last updated on Jun 11, 2014.