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Organization
SCOTT CLAYHOLD DMD PS
Active
Organization
SCOTT CLAYHOLD DMD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT CLAYHOLD DMD (PRESIDENT)
(425) 891-4243
Entity
Organization
Contact information
Practice address
22605 SE 56TH ST STE 110, ISSAQUAH, WA 98029-5297
(425) 369-1533
(425) 369-1533
Mailing address
22605 SE 56TH ST STE 110, ISSAQUAH, WA 98029-5297
(425) 369-1533
(425) 369-1536
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
NULL
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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