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

NPI Profile for Dr CLYDE W STOCK in FREEDOM, WY.

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Contact Information

CLYDE W STOCK, DDS
156 COUNTY ROAD 114
FREEDOM, WY  83120
 Phone: 307-880-2760
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

 204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CLYDE W STOCK · (Male)

NPI Number 1144568924
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/29/2013
Last updated 01/29/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • WY License # 472
Hospital affiliation(s) Not Available
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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