DR. CRAIG DOUGLASS CLAYTON II (NPI# 1659980068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659980068 |
| Entity Type | Individual |
| Full Name | DR. CRAIG DOUGLASS CLAYTON II |
| Credential | DMD |
| Practice Address |
215 W 35th St Garden City ID 83714-6520 |
| Mailing Address |
7166 E Farewell Bend Ct Boise ID 83716-8100 |
| Practice Telephone | 2083845200 |
| Mailing Telephone | 9495543545 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D5175 | ID | Dental Providers |
| Street Address |
215 W 35TH ST |
| City | GARDEN CITY |
| State | ID |
| Zip Code | 83714-6520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548783160 | Genesis Community Health, Inc. | Voluntary or Charitable | 215 W 35th St, Garden City, ID 83714-6520 | 2017-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
| 1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
| 1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
| Find all providers in zip 83714 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312680 | Waely Dental Pllc | Dentist | 1769 Inkster Rd, Garden City, MI 48135-3028 | 2020-09-26 |
| 1033655196 | Smile Dental Pllc | Dentist | 28050 Ford Rd Suite D, Garden City, MI 48135 | 2017-01-13 |
| 1184927451 | John Anthony Mcphilliamy | Dentist | 61 Hilton Avenue, Garden City, NY 11530 | 2010-12-08 |
| 1982835328 | Lance Palmer | Dentist | 310 E Walnut St Ste Ll5, Garden City, KS 67846-5572 | 2009-08-03 |
| 1609026558 | Tony Thomas | Dentist | 200 Garden City Plz Ste 101, Garden City, NY 11530-3337 | 2008-09-29 |
| 1750545216 | Nicholas Vernice | Dentist | 166 New Hyde Park Rd, Garden City, NY 11530-2308 | 2008-07-14 |
| 1225292915 | Jay Keltner, D.d.d. P.a. | Dentist | 1133 E Kansas Plz, Garden City, KS 67846-5870 | 2008-07-11 |
| 1205044351 | Paul F. Callahan | Dentist | 61 Hilton Ave, Garden City, NY 11530-2895 | 2007-05-21 |
| 1124234067 | Alexander M Barsky | Dentist | 520 Franklin Ave Ste L11, Garden City, NY 11530-5813 | 2007-05-15 |
| 1649483355 | Paul S Baron | Dentist | 365 Stewart Ave, Suite A26, Garden City, NY 11530-4532 | 2007-05-08 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 83714 |
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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.