Individual provider Active NPI

Jeffrey Allen Clifton, DDS

  • General Practice Dentistry
  • Danville, VA
National Provider Identifier
1619976172
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
770 Piney Forest Rd
Danville, VA 24540-2859
Phone
(434) 799-8825
Fax
(434) 799-9458
NPI assigned
Jul 18, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X VA Primary

Addresses

Primary practice location

770 Piney Forest Rd
Danville, VA 24540-2859

Mailing address

163 Virginia Ave
Danville, VA 24541-3761
Phone (434) 797-9253

Other identifiers 4

IdentifierTypeStateIssuer
0007805098MedicaidVA
923 08646CLIOtherVAOTHER
463686OtherVABCBS
014298OtherVADORAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150722005592 VA Practitioner - Dentist 5991018038 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
401006942VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Danville Dental Associates, PC General Practice CurrentSince Jun 1, 2015 Accepting new patients
Danville Dental Associates, PC General Practice Past Accepting new patients

Locations

19144 US Highway 29
Chatham, VA 24531
Phone (434) 432-0216

1429 S Boston Rd
Danville, VA 24540
Phone (434) 799-5097

5011 Riverside Dr
Ste A
Danville, VA 24541
Phone (434) 822-1332

5011 Riverside Dr
Ste B
Danville, VA 24541
Phone (434) 822-1332

770 Piney Forest Rd
Danville, VA 24540
Phone (434) 799-8825

770 Piney Forest Rd
Ste A
Danville, VA 24540
Phone (434) 442-4290

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619976172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 VIRGINIA AVE",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245413761",
            "telephone_number": "434-797-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 PINEY FOREST RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245402859",
            "telephone_number": "434-799-8825",
            "fax_number": "434-799-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFTON",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007805098",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "923 08646CLI",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "463686",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "014298",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.