Healthcare Provider Details

I. General information

NPI: 1841988540
Provider Name (Legal Business Name): DR. JAMES WILLIAM DAVID CLOHESSY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 YORK ST
NEW HAVEN CT
06510-3220
US

IV. Provider business mailing address

47 COLLEGE ST
NEW HAVEN CT
06510-3209
US

V. Phone/Fax

Practice location:
  • Phone: 203-688-4242
  • Fax:
Mailing address:
  • Phone: 877-925-3637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number80313
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: