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NPI Code Detail

MEDICARE: DR. CLAYTON WICK YODER DDS

MEDICARE: DR. CLAYTON WICK YODER DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry37574TX
2122300000XDentist37574TX

General Provider Information

NPI Number : 1114590114
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLAYTON WICK YODER DDS
Provider Business Mailing Address
First Line : 5002 RIVERSIDE OAKS DR
Second Line :
City : KINGWOOD
State : TX
Zip : 77345-1281
Country : US
Telephone Number : 832-233-0719
Fax Number :
Provider Business Practice Location Address
First Line : 9205 EAGLE DR STE 100
Second Line :
City : MONT BELVIEU
State : TX
Zip : 77523-5620
Country : US
Telephone Number : 281-241-4249
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2021
Last Update Date : 03/28/2025

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Directions to “ DR. CLAYTON WICK YODER DDS” Practice Location

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