Individual
DR. GEORGE H CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., F.A.C.P.
Contact information
Practice address
1177 OLD HICKORY BLVD, SUITE 102, BRENTWOOD, TN 37027-4223
(615) 690-5400
(615) 690-5404
Mailing address
1177 OLD HICKORY BLVD, SUITE 102, BRENTWOOD, TN 37027-4223
(615) 690-5400
(615) 690-5404
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DS0000004847
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3094291
BCBS PROVIDER ID NUMBER
TN
01
—
975008
UNITED CONCORDIA ID NUMBE
TN
Enumeration date
06/12/2006
Last updated
03/26/2013
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