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Chad Clifton Street, DMD,MD
Oral & Maxillofacial Surgery (D.M.D.) in Pikeville, Kentucky
NPI 1992715288

Chad Clifton Street is a Oral & Maxillofacial Surgery (D.M.D.) based in Pikeville, KY. Chad Clifton Street practices in Pikeville, KY and has the professional credentials of DMD,MD. The NPI Number for Chad Clifton Street is 1992715288 and holds a License No. 7103 (Kentucky).

The current practice location address for Chad Clifton Street is 129 Loraine St, Pikeville, KY and can be reached out via phone at 606-432-9639 and via fax at 606-432-9689.

Location: 129 Loraine St, Pikeville, KY, 41501-3757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992715288
Provider Name
Chad Clifton Street
Credential
DMD,MD
Provider Entity Type
Individual
Gender
Male
Address
129 Loraine St, Pikeville, KY, 41501-3757
Phone Number
606-432-9639
Fax Number
606-432-9689
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64068414 05 KY
60002300 05 KY
1204662 01 KY CHA PROVIDER #
institution
Provider Business Practice Location Address Details
Address
129 Loraine St
City
Pikeville
State
Kentucky
Zip
41501-3757
Phone Number
606-432-9639
Fax Number
606-432-9689
person
Provider Business Mailing Address Details
Address
129 Loraine St
City
Pikeville
State
Kentucky
Zip
41501-3757
Phone Number
606-432-9639
Fax Number
606-432-9689
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
38532 (Kentucky)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
7103 (Kentucky)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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