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General NPI Number Information
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NPI Number | 1659220846
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Entity Type | Organization
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Legal Business Name | SCOTT CLAYHOLD DMD PS
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 22605 SE 56TH ST STE 110
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City | ISSAQUAH
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State | WA
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Zip | 98029-5297
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Country | US
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Telephone | 425-369-1533
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Fax | 425-369-1533
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Provider Business Mailing Address
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Address Line | 22605 SE 56TH ST STE 110
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City | ISSAQUAH
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State | WA
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Zip | 98029-5297
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Country | US
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Telephone | 425-369-1533
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Fax | 425-369-1536
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT CLAYHOLD
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Credential | DMD
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Telephone | 425-891-4243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number |
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Taxonomy #3
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number |
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License Number State |
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