National Provider Identifier Database

CLYDE W STOCK, DDS – NPI #1144568924
Oral & Maxillofacial Surgery


Contact Information

CLYDE W STOCK, DDS
156 COUNTY ROAD 114
FREEDOM, WY83120
Phone: 307-880-2760
Fax:
Website:
Specialty Taxonomy Code
* Oral & Maxillofacial Surgery 204E00000X

* Indicates primary specialty

NPI Profile & details for CLYDE W STOCK

NPI Number 1144568924
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/29/2013
Last updated 01/29/2013 - About 13 years ago
Sole proprietor1 Yes
Identifiers
  • WY License #: 472
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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