Provider Demographics
NPI:1487771580
Name:CLAYTON, JAMES DENNIS (DDS)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:DENNIS
Last Name:CLAYTON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27W291 GENEVA RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:WINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60190-2042
Mailing Address - Country:US
Mailing Address - Phone:630-690-7070
Mailing Address - Fax:630-690-7050
Practice Address - Street 1:27W291 GENEVA RD
Practice Address - Street 2:SUITE F
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190-2042
Practice Address - Country:US
Practice Address - Phone:630-690-7070
Practice Address - Fax:630-690-7050
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL19A15863122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist