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Organization

MICHAEL J CLAYMORE DDS

Active
Parent organization
MICHAEL J CLAYMORE DDS
Organization subpart
Yes

Provider details

NPI number
Legal business name
MICHAEL J CLAYMORE DDS
Authorized official
DR. MICHAEL J CLAYMORE DDS (DENTIST)
(208) 682-4540
Entity
Organization

Contact information

Practice address
8 N DIVISION STREET, PINEHURST, 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
122300000X
Dentist
Primary
D1817
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CS3387
CONTROLLED SUBSTANCE
ID
01
D1817
IDAHO DENTIST NUMBER
ID
Enumeration date
03/14/2008
Last updated
03/07/2023
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