DR. JACK DIETERICH CLIFTON (NPI# 1568597631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568597631 |
| Entity Type | Individual |
| Full Name | DR. JACK DIETERICH CLIFTON |
| Credential | DDS |
| Practice Address |
52 Nw Second Street Stevenson WA 98648 |
| Mailing Address |
Po Box 709 Stevenson WA 98648-0709 |
| Practice Telephone | 5094278605 |
| Practice Fax Number | 5094275711 |
| Mailing Telephone | 5094278605 |
| Mailing Fax Number | 5094275711 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6156 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164441887 | Jack C Clifton II | Internal Medicine | 1901 W Harrison St, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL 60612-3714 | 2006-07-19 |
| Street Address |
52 NW SECOND STREET |
| City | STEVENSON |
| State | WA |
| Zip Code | 98648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477688547 | Jack D Clifton, Dds, Ps | Clinic/Center | 52 Nw Second Street, Stevenson, WA 98648-0709 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104355510 | Mallory Shae Fochtman | Registered Nurse | 50561 State Hwy 14, Stevenson, WA 98648 | 2017-06-08 |
| 1578803037 | Cascade Acupuncture Center, LLC | Acupuncturist | 40 Sw Cascade Ave., Ste. 40, Stevenson, WA 98648 | 2013-02-21 |
| 1326343054 | Ellen Elizabeth Jensen | Counselor | 77 Sw Russell Ave, Stevenson, WA 98648 | 2011-01-11 |
| 1962642819 | Sarah Davis Oaks | Counselor | 683 Sw Rock Creek Drive, Stevenson, WA 98648 | 2009-03-04 |
| 1437314283 | John Ronald Campbell Mccallum | Reflexologist | 96 Nw Columbia Ave., Stevenson, WA 98648 | 2008-07-22 |
| 1710140090 | Saliha Robin Abrams | Mechanotherapist | 96 Columbia Ave, Stevenson, WA 98648 | 2008-07-07 |
| 1346430964 | Diana J Sanger | Counselor | 683 Rock Creek Dr., Stevenson, WA 98648 | 2007-07-30 |
| 1659597862 | Susie A Veley | Massage Therapist | 225 Sw Second, Stevenson, WA 98648 | 2007-04-17 |
| 1689734899 | Bryce Allen Mccollum | Psychologist | 350 Bulldog Dr, Stevenson, WA 98648 | 2006-12-11 |
| 1154480457 | Susan Ann Muth | Counselor | 683 Sw Rock Creek Dr., Stevenson, WA 98648 | 2006-12-06 |
| Find all providers in zip 98648 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811385917 | Joel Danziger | Dentist | 10407 Stevenson Road, Stevenson, MD 21153 | 2014-12-26 |
| 1215165105 | Holland Family Dentistry, LLC | Dentist | 111 Shannon Drive, Stevenson, AL 35772-5452 | 2009-06-30 |
| 1730218645 | Clyde Wilson Butler II | Dentist | 43200 Us Highway 72, Stevenson, AL 35772-6702 | 2007-03-05 |
| 1427495688 | Alabama Dental Professionals PC | Dentist | 105 Adams St, Stevenson, AL 35772-3770 | 2013-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113015 | Victor Bing-sheng Shih | Dentist | 9235 158th Pl Ne, Redmond, WA 98052-7524 | 2020-10-28 |
| 1730789082 | Kim & Cervantes-kim Dds Pllc | Dentist | 945 Elliott Ave W Ste 212, Seattle, WA 98119-3645 | 2020-10-27 |
| 1285233023 | Se Won An | Dentist | 7311 Ne 141st St Ste 2, Kirkland, WA 98034-9703 | 2020-10-22 |
| 1760080469 | Tanveer Singh Buttar | Dentist | 13955 57th Ave S, Tukwila, WA 98168 | 2020-10-14 |
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1790383867 | Washington Dental Corporation, PC | Dentist | 620 1st Ave N, Seattle, WA 98109-4001 | 2020-10-12 |
| 1275140535 | Byeonguk Kang | Dentist | 1959 Ne Pacific St Rm B403, Seattle, WA 98195-0001 | 2020-09-29 |
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1013524743 | David Park | Dentist | 810 3rd Ave Ste 200, Seattle, WA 98104-1614 | 2020-09-27 |
| 1821605940 | Jade W. Gan, Dds, Pllc | Dentist | 12902 Bothell Everett Hwy Ste E, Everett, WA 98208-6635 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.