Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CLYDE WALLACE STOCK, D.D.S.
Active Sole ProprietorDR. CLYDE WALLACE STOCK, D.D.S. is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in FREEDOM, Wyoming. NPI 1144568924 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · FREEDOM, WY
Registration Details
- NPI Number
- 1144568924
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 29, 2013 (13.571229158464 yrs)
- Last Updated
- Jan 29, 2013
- License
-
472 (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
156 COUNTY ROAD 114FREEDOM, WY, 83120Browse WY providers · Browse ZIP 83120
- Phone
- 3078802760
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.