Individual
DR. CLAYTON SCOTT HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
2625 28TH ST, SUITE 200, BOULDER, CO 80301-1263
(303) 938-0130
(303) 245-0405
Mailing address
2625 28TH ST, SUITE 200, BOULDER, CO 80301-1263
(718) 685-6144
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
20788
TX
122300000X
Dentist
P44870
NY
1223G0001X
General Practice Dentistry
P44870
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9735
CO
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
20788
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1223S0112X
—
TX
Enumeration date
01/22/2006
Last updated
08/12/2011
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