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Dr. John Robert Clifford, DDS,MS
Pediatric Dentist in Wausau, Wisconsin
NPI 1548751043

John Robert Clifford is a Pediatric Dentist based in Wausau, WI and is specialized in Pediatric Dentistry. John Robert Clifford practices in Wausau, WI and has the professional credentials of DDS,MS. The NPI Number for John Robert Clifford is 1548751043 and holds a License No. (Wisconsin).

The current practice location address for John Robert Clifford is 413 N 17Th Ave, Wausau, WI and can be reached out via phone at 715-842-4649.

Location: 413 N 17Th Ave, Wausau, WI, 54401-4226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548751043
Provider Name
John Robert Clifford
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
413 N 17Th Ave, Wausau, WI, 54401-4226
Phone Number
715-842-4649
Fax Number
Provider Enumeration Date
05/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
413 N 17Th Ave
City
Wausau
State
Wisconsin
Zip
54401-4226
Phone Number
715-842-4649
Fax Number
person
Provider Business Mailing Address Details
Address
413 N 17Th Ave
City
Wausau
State
Wisconsin
Zip
54401-4226
Phone Number
715-842-4649
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
1002225-15 (Wisconsin)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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