Frank Clayton, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12106 Issued in GA

Practice address

4320 Suwanee Dam Rd
Suite 1800
Suwanee, GA 30024-6542

Phone

(770) 932-0290

NPI assigned

Jan 5, 2007

Last updated

Oct 6, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Village Grove Dental, P.C.

  • General Practice Dentistry
  • Suwanee, GA
  • NPI 1821871732
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1144377565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 SUWANEE DAM RD",
            "address_2": "SUITE 1800",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241918",
            "telephone_number": "770-932-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 SUWANEE DAM RD",
            "address_2": "SUITE 1800",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246542",
            "telephone_number": "770-932-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "12106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Chung, FNP-C
• Hyunjae Chung, DPT
• Richard Young Shin Chung, O.M.D
• Tony Chung, DPT
• Circle of Love , Inc
• Robert Douglas Clayton, M.D.
• Ronald Mark Clayton, M.S., L.P.C.
• Melissa Clements
• Nadya Clontz, LAPC
• Mary Helen Coats, LPC

• General Practice Dentistry in Suwanee, GA
• Providers in Suwanee, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.