CLAYTON GLEN SPENCER (NPI# 1114106655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114106655 |
| Entity Type | Individual |
| Full Name | CLAYTON GLEN SPENCER |
| Credential | CLAYTON SPENCER DDS |
| Practice Address |
707 Lamar Ave Suite L Paris TX 75460-4492 |
| Practice Telephone | 9037392288 |
| Practice Fax Number | 9037392044 |
| Mailing Telephone | 9037392288 |
| Mailing Fax Number | 9037392044 |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
23262 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295380673 | Clayton Spencer | Marriage & Family Therapist | 1500 E 2700 S, Hurricane, UT 84737-4000 | 2019-08-02 |
| Street Address |
707 LAMAR AVE SUITE L |
| City | PARIS |
| State | TX |
| Zip Code | 75460-4492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569976 | Harry Michael Lewis | Surgery | 707 Lamar Ave, Ste C2, Paris, TX 75460-4460 | 2005-06-22 |
| 1063977684 | Marion Manton Miller II | Pharmacist | 707 Lamar Ave, Paris, TX 75460-4492 | 2019-02-07 |
| 1942469200 | Laura Janes Cfnp | Licensed Practical Nurse | 707 Lamar Ave, Suite H, Paris, TX 75460-4492 | 2008-06-03 |
| 1053516369 | Ralf Fritz Poineal | Dentist | 707 Lamar Ave, Suite F, Paris, TX 75460-4492 | 2007-06-18 |
| 1235277849 | Miears Ltc Pharmacy | Pharmacy | 707 Lamar Ave, Suite C, Paris, TX 75460-4492 | 2007-02-03 |
| 1225176837 | Paris Apothecary, LLC | Pharmacy | 707 Lamar Ave, Suite B, Paris, TX 75460-4492 | 2007-02-03 |
| 1518005123 | Miears Pharmacy and Home Health Care | Durable Medical Equipment & Medical Supplies | 707 Lamar Ave, Suite A, Paris, TX 75460-4492 | 2007-02-03 |
| 1467554931 | Lea Ann Logan | Pharmacist | 707 Lamar Ave, Paris, TX 75460 | 2006-09-03 |
| 1265541924 | Laura Janes | Licensed Practical Nurse | 707 Lamar Ave, Suite H, Paris, TX 75460-4492 | 2006-08-29 |
| 1023027984 | Don Ray Massey | Dentist | 707 Lamar Ave, Suite D, Paris, TX 75460-4492 | 2006-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574409 | Patrick Hayden Tomlinson | Pharmacist | 707 Lamar Ave Suite A, Paris, TX 75460 | 2020-09-25 |
| 1053938530 | King Vision of Tyler LLC | Hospice Care, Community Based | 2555 Ruby Way 8102, Paris, TX 75460 | 2020-06-30 |
| 1376013946 | Kristi Marie Holden | In Home Supportive Care | 1320 27th Ne, Paris, TX 75460 | 2018-11-27 |
| 1316422629 | Md Consultative Services, LLC | Family Medicine | 3310 Lamar Avenue, Suite A, Paris, TX 75460 | 2018-10-02 |
| 1386123941 | Luz Elena Luna | Licensed Vocational Nurse | 11245 15 St Se, Paris, TX 75460 | 2018-08-14 |
| 1255821369 | Paris Speech Pathology Clinic, Pllc | Speech-Language Pathologist | 2404 Lamar Ave, Paris, TX 75460 | 2018-05-14 |
| 1083127054 | Conway Counseling, LLC | Counselor | 2654 Lamar Ave., 1, Paris, TX 75460 | 2017-11-13 |
| 1851803373 | Paris Wellness Center & Medical Spa | Family Medicine | 1122 E. Austin St., Paris, TX 75460 | 2017-10-25 |
| 1053863357 | Medprime Health Services LLC | Pharmacy | 3310 Lamar Ave Ste B, Paris, TX 75460 | 2016-11-03 |
| 1386098523 | Nikki Goodale | Occupational Therapist | 2710 E Price St, Paris, TX 75460 | 2016-04-13 |
| Find all providers in zip 75460 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821174293 | Michael P. Mcclain, D.m.d., PC | Dentist | 1405 E Wood St, Paris, TN 38242-5655 | 2006-10-28 |
| 1841521358 | Michael Pickard Mcclain | Dentist | 1405 E Wood St, Paris, TN 38242-5655 | 2010-01-22 |
| 1770635161 | Louis B. Trenchard Iv | Dentist | 3420 Ne Loop 286, Paris, TX 75460-5003 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989992 | Maxwell Oldham | Dentist | 115 Kohlers Xing Ste 350, Kyle, TX 78640-2467 | 2020-10-10 |
| 1154928943 | Amanda Gerlach | Dentist | 3550 Hulen St Ste C, Fort Worth, TX 76107-6885 | 2020-10-05 |
| 1700496411 | Farhana Rahman | Dentist | 398 E Pipeline Rd, Hurst, TX 76053-5831 | 2020-08-06 |
| 1093324675 | Frisco Braces Pllc | Dentist | 5285 Dallas Pkwy Ste 500, Frisco, TX 75034-9634 | 2020-07-29 |
| 1316556061 | Prosper Braces Pllc | Dentist | 821 N Coleman St Ste 110, Prosper, TX 75078-2305 | 2020-07-29 |
| 1871118133 | Tardy Orthodontics PC | Dentist | 8805 North Tarrant Parkway, Suite 200, North Richland Hills, TX 76182 | 2020-06-12 |
| 1285256636 | Bear Dental Corp | Dentist | 210 N. Coit Rd., Mckinney, TX 75071 | 2020-05-08 |
| 1275155665 | Joanna Song | Dentist | 2540 Fm 2920 Rd Ste H, Spring, TX 77388-3672 | 2020-05-08 |
| 1477175917 | Meredith Ann Williams | Dentist | 5215 Fm 1463 Rd Ste 700, Katy, TX 77494-7437 | 2020-05-06 |
| 1740809003 | Boss Orthodontics, Pllc | Dentist | 15801 W Hwy 71 Ste 600, Bee Cave, TX 78738-2709 | 2020-04-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.