Healthcare Provider Details

I. General information

NPI: 1366648909
Provider Name (Legal Business Name): CLAYMAN & RILEY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29355 NORTHWESTERN HWY SUITE # 200
SOUTHFIELD MI
48034-1053
US

IV. Provider business mailing address

29355 NORTHWESTERN HWY SUITE # 200
SOUTHFIELD MI
48034-1053
US

V. Phone/Fax

Practice location:
  • Phone: 248-262-9100
  • Fax: 248-350-2686
Mailing address:
  • Phone: 248-262-9100
  • Fax: 248-350-2686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. IRVING NORFLIN RILEY
Title or Position: VICE PRESIDENT
Credential: DDS
Phone: 248-262-9100