# JACK D CLIFTON, DDS, PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stevenson Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477688547
- **Authorized official:** DR. JACK DIETERICH CLIFTON DDS (GENERAL DENTIST)
- **Authorized official phone:** (509) 427-8605

## Contact information

- **Practice address:** 52 NW SECOND STREET, STEVENSON, WA 98648-0709
- **Practice address phone:** (509) 427-8605
- **Practice address fax:** (509) 427-5711
- **Mailing address:** PO BOX 709, STEVENSON, WA 98648-0709
- **Mailing address phone:** (509) 427-8605
- **Mailing address fax:** (509) 427-5711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 6156 | WA | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 08/22/2020