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NPI Code Detail

MEDICARE: SARAH CLAYTON DDS

MEDICARE:   SARAH  CLAYTON  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry9024TN

General Provider Information

NPI Number : 1336378827
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH CLAYTON DDS
Provider Business Mailing Address
First Line : 1514 HATCHER LN
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-4825
Country : US
Telephone Number : 931-381-7591
Fax Number :
Provider Business Practice Location Address
First Line : 1514 HATCHER LN
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-4825
Country : US
Telephone Number : 931-381-7591
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2009
Last Update Date : 08/17/2016

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Directions to “ SARAH CLAYTON DDS” Practice Location

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