Individual
DR. MICHAEL J CLAYMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8 N DIVISION STREET, PINEHUSRT, ID 83850-0609
(208) 682-4540
(208) 682-2339
Mailing address
PO BOX 609, PINEHURST, ID 83850-0609
(208) 682-4540
(208) 682-2339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1817
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D1817
IDAHO DENTAL ID
ID
Enumeration date
01/17/2007
Last updated
03/07/2023
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