# SCOTT CLAYHOLD DMD PS

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

## Provider details

- **NPI number:** 1659220846
- **Authorized official:** DR. SCOTT CLAYHOLD DMD (PRESIDENT)
- **Authorized official phone:** (425) 891-4243

## Contact information

- **Practice address:** 22605 SE 56TH ST STE 110, ISSAQUAH, WA 98029-5297
- **Practice address phone:** (425) 369-1533
- **Practice address fax:** (425) 369-1533
- **Mailing address:** 22605 SE 56TH ST STE 110, ISSAQUAH, WA 98029-5297
- **Mailing address phone:** (425) 369-1533
- **Mailing address fax:** (425) 369-1536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |
| 261QS0112X | Oral and Maxillofacial Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/22/2026
- **Last updated:** 01/22/2026