Paul W. Clancy, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901011377 Issued in MI

Legal business name

PAUL W. CLANCY, D.D.S., P.C.

Practice address

41620 6 Mile Rd
Suite 101
Northville, MI 48168-8528

Phone

(248) 349-3660

Fax

(248) 349-4698

NPI assigned

Jun 24, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Paul W. Clancy, D.D.S.

Title

Owner

Phone

(248) 349-3660

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1174751507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41620 6 MILE RD",
            "address_2": "SUITE 101",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688528",
            "telephone_number": "248-349-3660",
            "fax_number": "248-349-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41620 6 MILE RD",
            "address_2": "SUITE 101",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688528",
            "telephone_number": "248-349-3660",
            "fax_number": "248-349-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL W. CLANCY, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-349-3660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901011377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Northville, MI
• Providers in Northville, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.