Ryan M Clancy DMD PC

General Practice Dentistry · Medford, MA

Organization Active NPI

NPI number 1487676342

Practice location

80 High St
Medford, MA 02155-3872
Phone
(781) 396-8558
Fax
(781) 396-8559

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NPI record

NPI
1487676342
Entity type
Organization (Type 2)
Enumeration date
July 23, 2006
Last updated
January 2, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 20405 MA

Authorized official

Name
Dr. Ryan M Clancy, DMD
Title
President
Phone
(781) 396-8558

About Ryan M Clancy DMD PC

Ryan M Clancy DMD PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 80 High St, Medford, MA 02155-3872. The NPI number 1487676342 was assigned on July 23, 2006 and the record was last updated on January 2, 2014.

Ryan M Clancy DMD PC lists a license in the registry: #20405 (MA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Ryan M Clancy, DMD, President.

Frequently asked questions

What is the NPI number of Ryan M Clancy DMD PC?

The NPI number is 1487676342.

What is the phone number of Ryan M Clancy DMD PC?

The phone number listed for the practice location is (781) 396-8558.

Where is Ryan M Clancy DMD PC located?

80 High St, Medford, MA 02155-3872.

What is the taxonomy code for Ryan M Clancy DMD PC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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