# PAUL W. CLANCY, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174751507
- **Authorized official:** DR. PAUL W. CLANCY D.D.S. (OWNER)
- **Authorized official phone:** (248) 349-3660

## Contact information

- **Practice address:** 41620 6 MILE RD, SUITE 101, NORTHVILLE, MI 48168-8528
- **Practice address phone:** (248) 349-3660
- **Practice address fax:** (248) 349-4698
- **Mailing address:** 41620 6 MILE RD, SUITE 101, NORTHVILLE, MI 48168-8528
- **Mailing address phone:** (248) 349-3660
- **Mailing address fax:** (248) 349-4698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901011377 | MI | Yes |

## Other

- **Enumeration date:** 06/24/2009
- **Last updated:** 06/24/2009