DR. CHRISTOPHER KEVIN CLANCY (NPI# 1659442325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659442325 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER KEVIN CLANCY |
| Credential | D.M.D |
| Practice Address |
299 Lincoln St Suite 204 Worcester MA 01605-3609 |
| Practice Telephone | 5088520021 |
| Practice Fax Number | 5088520031 |
| Mailing Telephone | 5083291212 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS035268 | PA | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN16305 | FL | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
20205 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669402103 | Christopher Clancy | Psychiatry & Neurology | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2006-07-03 |
| 1427214790 | Christopher Lee Clancy | Surgery | 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-1803 | 2008-08-05 |
| Street Address |
299 LINCOLN ST SUITE 204 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104804640 | Neil J Feldman | Podiatrist | 299 Lincoln St, Suite 202, Worcester, MA 01605-3646 | 2006-01-05 |
| 1942814264 | Northeast Family Services | Counselor | 299 Lincoln St, Worcester, MA 01605-3646 | 2020-09-03 |
| 1326504606 | Katherine Edwards | Social Worker | 299 Lincoln St, Worcester, MA 01605-3646 | 2019-02-12 |
| 1821576042 | Molly Kleven Berry | Social Worker | 299 Lincoln St, Worcester, MA 01605-3646 | 2018-07-31 |
| 1184179145 | James M Shenko, Md PC | Plastic Surgery | 299 Lincoln St, Suite 201, Worcester, MA 01605-3646 | 2016-08-19 |
| 1164756631 | Donald E Pelto | Podiatrist | 299 Lincoln St, Suite 202, Worcester, MA 01605-3646 | 2009-09-30 |
| 1508038217 | Robert R Grondin | Podiatrist | 299 Lincoln St, Suite 202, Worcester, MA 01605-3646 | 2008-04-02 |
| 1225213481 | J Leitao-pina Md PC | Clinic/Center | 299 Lincoln St, Suite 201, Worcester, MA 01605-3646 | 2008-01-07 |
| 1417150608 | Howard M. Zinman, M.d., P.C. | Pediatrics | 299 Lincoln St, Suite 203, Worcester, MA 01605-3646 | 2007-06-06 |
| 1205989191 | Richard Montilla | Surgery | 299 Lincoln St, Suite 201, Worcester, MA 01605-3646 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245249820 | Xue Yu Shen | Dentist | 9 Linden Street, Worcester, MA 01609 | 2006-08-05 |
| 1326041385 | W David Kelly | Dentist | 59 Quinsigamond Ave, Worcester, MA 01610-1867 | 2005-05-24 |
| 1982149514 | Oral Surgery Partners PC | Dentist | 388 Park Ave, Worcester, MA 01610-1025 | 2017-01-06 |
| 1033434659 | Crompton Park Oral Surgery and Implant Associates, LLC | Dentist | 59 Quinsigamond Ave, Worcester, MA 01610-1867 | 2010-04-07 |
| 1679747398 | Bay State Oral Surgery Associates, Inc. | Dentist | 9 Linden Street, Worcester, MA 01609 | 2008-04-14 |
| 1093998387 | Crompton Park Oral Surgery and Implant Associates, LLP | Dentist | 59 Quinsigamond Ave, Worcester, MA 01610-1806 | 2007-12-10 |
| 1295941607 | Laurie Manthos | Dentist | 200 Lincoln St, Suite 1, Worcester, MA 01605-2528 | 2007-05-15 |
| 1285750596 | Laurie Manthos, D.m.d., P.C. | Dentist | 200 Lincoln St, Suite 1, Worcester, MA 01605-2528 | 2007-03-21 |
| 1053470740 | Worcester Oral Surgery, P.C. | Dentist | 299 Lincoln Street, Suite 204, Worcester, MA 01605-3609 | 2006-12-08 |
| 1225109903 | Jasjit Singh Gill | Dentist | 299 Lincoln St, Suite 204, Worcester, MA 01605-3609 | 2006-11-13 |
| Find all providers in WORCESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.