Clayton R. Davis, D.M.D., P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

DN009153 Issued in GA

Legal business name

CLAYTON R. DAVIS, D.M.D., P.C.

Practice address

3473 Satellite Blvd
Suite #102
Duluth, GA 30096-8690

Phone

(770) 476-9747

Fax

(770) 622-4854

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Clayton R. Davis, D.M.D.NPI 1679963102

Title

President

Phone

(770) 476-9747

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clayton Davis, DMD

  • Dentist
  • Duluth, GA
  • NPI 1679963102
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962612580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3473 SATELLITE BLVD.",
            "address_2": "SUITE #102",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968691",
            "telephone_number": "770-476-9747",
            "fax_number": "770-622-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3473 SATELLITE BLVD",
            "address_2": "SUITE #102",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968690",
            "telephone_number": "770-476-9747",
            "fax_number": "770-622-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON R. DAVIS, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-476-9747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN009153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Civil
• Colleen Clark
• Donte Clark
• Timilyn Clark, OTR
• Samantha Lee Claxton, OD
• Amber Clayton
• Dennis J Clayton, PAC
• Clement Ayanbadejo LLC
• Fabius Clements IV, O.D.
• Kayla Cleveland, MS, BCBA

• Dentist in Duluth, GA
• Providers in Duluth, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.