# CLAYTON R. DAVIS, D.M.D., P.C.

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

## Provider details

- **NPI number:** 1962612580
- **Authorized official:** DR. CLAYTON R. DAVIS D.M.D. (PRESIDENT)
- **Authorized official phone:** (770) 476-9747

## Contact information

- **Practice address:** 3473 SATELLITE BLVD, SUITE \#102, DULUTH, GA 30096-8690
- **Practice address phone:** (770) 476-9747
- **Practice address fax:** (770) 622-4854
- **Mailing address:** 3473 SATELLITE BLVD., SUITE \#102, DULUTH, GA 30096-8691
- **Mailing address phone:** (770) 476-9747
- **Mailing address fax:** (770) 622-4854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DN009153 | GA | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 08/22/2020