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General NPI Number Information
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NPI Number | 1538608591
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Entity Type | Individual
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Provider Name | CHRISTOPHER ASHLEY CLAYTON DMD
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Gender | Male
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Dates
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Enumeration Date | 02/22/2017
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 9100 WHITE BLUFF RD STE 104
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City | SAVANNAH
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State | GA
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Zip | 31406-4673
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Country | US
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Telephone | 912-354-3474
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Fax |
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Provider Business Mailing Address
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Address Line | 5 CROSSGATE CT
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City | POOLER
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State | GA
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Zip | 31322-8284
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Country | US
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Telephone | 912-547-0017
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN015975
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License Number State | GA
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