DR. SCOTT CLAYHOLD (NPI# 1982662482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982662482 |
Entity Type | Individual |
Full Name | DR. SCOTT CLAYHOLD |
Credential | DMD, MDS |
Practice Address |
22605 Se 56th St Ste. 110 Issaquah WA 98029-5289 |
Practice Telephone | 4253691533 |
Enumeration Date | 2006-05-03 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
DE00009240 | WA | Dental Providers |
Street Address |
22605 SE 56TH ST STE. 110 |
City | ISSAQUAH |
State | WA |
Zip Code | 98029-5289 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134730161 | Katelyn Creech | Counselor | 1505 16th Lane Ne, Apt 404 Building O, Issaquah, WA 98029 | 2020-08-13 |
1326695438 | M Shoaib Haider Siddiqui | Dentist | Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 | 2019-08-22 |
1053885061 | Rose Osborne | Registered Nurse | 4580 Klahanie Dr Se #181, Sammamish, WA 98029 | 2019-01-14 |
1598260960 | Caryn Crosbie | Behavior Technician | 22526 Se 64th Place, Building D Suite 210, Issaquah, WA 98029 | 2018-03-28 |
1194110908 | May Y. Mar | Family Medicine | 5708 E. Lake Sammamish Pkwy Se, Issaquah, WA 98029 | 2015-03-30 |
1659765816 | Eastside Social Skills Therapy LLC | Preferred Provider Organization | 5436 232nd Ave Se, Issaquah, WA 98029 | 2015-03-26 |
1649513946 | Linda Scoppettone Knodel | Registered Nurse | 5303 231 Ave. Se, Issaquah, WA 98029 | 2013-04-04 |
1720323116 | Morley Slutsky | Preventive Medicine | 4580 Klahanie Dr. S.e.,#125, Issaquah, WA 98029 | 2012-12-11 |
1619248820 | Silas Dickenson Dudley | Dentist | 2520 Ne Park Dr, Suite C, Issaquah, WA 98029 | 2012-01-19 |
1659641678 | Cynthia J Creel | Technician/Technologist | 4580 Klahanie Dr. Se, #332, Issaquah, WA 98029 | 2012-01-06 |
Find all providers in zip 98029 |
Taxonomy Code | 1223P0106X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Pathology |
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730653197 | Matthew Callan Dds Pllc | Dentist | 2530 Perry Ave Ste 100, Bremerton, WA 98310-5219 | 2019-01-17 |
1427373869 | Cazan & Menke Pllc | Dentist | W. 13326 14th Street, Airway Heights, WA 99001 | 2010-03-29 |
1760447122 | Oral Surgery Associates Inc. | Dentist | 3924 Martin Way E, Olympia, WA 98506-5220 | 2006-04-19 |
1841252996 | Mark Richard Gleisner | Dentist | 2 Nd Floor Bldg 9900, Attn: Credentials Office, Tacoma, WA 98431-0001 | 2006-04-04 |
1326303298 | Julia Yu Fong Chang | Dentist | 1959 Ne Pacific St, Room B-202, Seattle, WA 98195-7133 | 2012-07-06 |
1942410436 | Oral Surgery Plus P.s. | Dentist | 123 W Francis Ave, Suite 101, Spokane, WA 99205-6348 | 2007-05-23 |
1598974339 | Darrell Rick Edwards | Dentist | 2345 Sw 320th St, Federal Way, WA 98023-2568 | 2007-05-21 |
1760542153 | Darrell K. Tew | Dentist | 1703 Creekside Loop, Suite 100, Yakima, WA 98902-4875 | 2006-12-08 |
1275691198 | Ralph K Zech II | Dentist | 1229 Madison St, Suite 1020, Seattle, WA 98104-3586 | 2006-12-04 |
1720154404 | Neal Oral & Maxillofacial Surgery | Dentist | 509 Olive Way, Suite 1207, Seattle, WA 98101 | 2006-11-27 |
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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.