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Organization
C JEFF CLAY, D.D.S. INC.
Active
Organization
C JEFF CLAY, D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL JEFFREY CLAY D. D.S. (PRESIDENT)
(304) 763-4665
Entity
Organization
Contact information
Practice address
479 FLAT TOP RD, SHADY SPRING, WV 25918
(304) 763-4665
(304) 763-5172
Mailing address
479 FLAT TOP RD, SHADY SPRING, WV 25918-8614
(304) 763-4665
(304) 763-5172
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2683
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001875982
MOUNTAIN STATE BLUE CROSS
WV
01
—
1591884
UNITRED CONCORDIA
WV
Enumeration date
12/13/2006
Last updated
01/26/2009
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