# J. WILLIAM CLAYTOR, JR., D.D.S., P.A.

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

## Provider details

- **NPI number:** 1295887669
- **Authorized official:** DR. JOHN WILLIAM CLAYTOR JR. D.D.S. (OWNER)
- **Authorized official phone:** (704) 484-0531

## Contact information

- **Practice address:** 107 E GROVER ST, SHELBY, NC 28150-3803
- **Practice address phone:** (704) 484-0531
- **Mailing address:** 107 E GROVER ST, SHELBY, NC 28150-3803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4754 | NC | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 08/22/2020