Healthcare Provider Details

I. General information

NPI: 1851439111
Provider Name (Legal Business Name): ROSEMARY K AND TIMOTHY J CLAY DMD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

533 MAIN ST
WILMINGTON DE
19804-3910
US

IV. Provider business mailing address

533 MAIN ST
WILMINGTON DE
19804-3910
US

V. Phone/Fax

Practice location:
  • Phone: 302-998-0500
  • Fax: 302-993-0784
Mailing address:
  • Phone: 302-998-0500
  • Fax: 302-993-0784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDE934
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDE942
License Number StateDE

VIII. Authorized Official

Name: DR. TIMOTHY J CLAY
Title or Position: GENERAL DENTISTRY
Credential: D.M.D.,F.A.G.D.
Phone: 302-998-0500