CHAD CLIFTON STREET DMD, MD
NPI 1992715288
Dentist - Oral and Maxillofacial Surgery in Pikeville, KY

Q: What is Chad Street's NPI number?

The NPI number for Chad Street is 1992715288. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Q: What is Chad Street's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Chad Street was last updated on June 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 09, 2006

129 LORAINE ST, PIKEVILLE, KY 41501(606) 432-9639(606) 432-9689 Get Directions Write a Review

NPPES record last updated: June 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Chad Clifton Street Dmd, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAD CLIFTON STREET DMD, MD (NPI 1992715288) is an individual oral and maxillofacial surgery provider in Pikeville, Kentucky, licensed in Kentucky (7103) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1992715288

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameCHAD CLIFTON STREETCredential: DMD, MD

Location Address129 LORAINE STPikeville, KY 41501-3757

Mailing Address129 Loraine StPikeville, KY 41501-3757 · (606) 432-9639 · Fax (606) 432-9689

Phone(606) 432-9639

Fax(606) 432-9689

Sole ProprietorYes

Enumeration DateAugust 9, 2006

Last NPPES UpdateJune 11, 2014

✔ NPI 1992715288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in KY · 7103

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 38532 (KY)

129 LORAINE ST, Pikeville, KY 41501

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Other Identifiers 3

Medicaid60002300KY

Medicaid64068414KY

Other1204662KY · Cha Provider #

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chad Street's NPI number?

The NPI number for Chad Street is 1992715288. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Chad Street located?

Chad Street practices at 129 Loraine St, Pikeville, KY 41501. The listed phone number is (606) 432-9639.

What is Chad Street's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Chad Street was last updated on June 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.