George Willis Clay III, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4043 Issued in NC

Practice address

2388 Springs Rd NE
Hickory, NC 28601-3066

Phone

(828) 256-7958

Fax

(828) 256-8499

NPI assigned

Jan 8, 2018

Last updated

Jan 8, 2018By 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.

• George W. Clay III, D.D.S., P.a.

  • General Practice Dentistry
  • Hickory, NC
  • NPI 1225056104
  NPD (past) Authorized official

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1275040628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2388 SPRINGS RD NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013066",
            "telephone_number": "828-256-7958",
            "fax_number": "828-256-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2388 SPRINGS RD NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013066",
            "telephone_number": "828-256-7958",
            "fax_number": "828-256-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "GEORGE",
        "middle_name": "WILLIS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Clark, D.O.
• Emma Claire Clarke, MSW, LCSWA, LCAS
• Clay Wilson & Associates (The Cognitive Connection)
• Clay Wilson & Associates (The Cognitive Connection)
• Clay Wilson and Associates, Inc (The Cognitive Connection)
• Sarah Louise Clay, MSW, LCSWA
• Clay, Wilson & Assocaites, Inc. (The Cognitive Connection)
• Clay, Wilson & Assocaites, Inc. (The Cognitive Connection)
• Clay, Wilson & Assocaites, Inc.
• Clay, Wilson & Assocaites, Inc. (The Cognitive Connection)

• General Practice Dentistry in Hickory, NC
• Providers in Hickory, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.