Individual
CLAYTON BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
59 DG-AF POSTGRADUATE DENTAL SCHOOL, 2133 PEPPERRELL ST, BLDG 3352, JBSA-LACKLAND, TX 78236-5313
(210) 292-6258
Mailing address
116 VALONA DR, CIBOLO, TX 78108-4233
(210) 916-2330
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12879487-9922
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
12879487-9922
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2022
Last updated
08/22/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us