Dillon Clancy, DO
Student in an Organized Health Care Education/Training Program in Mount Holly, New Jersey
1205415536- Practice location
- 175 Madison Ave, Mount Holly, NJ 08060-2099
- Phone
- 609-914-6000
- Fax
- —
- Last updated
- May 21, 2026
Dillon Clancy is a Student in an Organized Health Care Education/Training Program based in Mount Holly, NJ. Dillon Clancy practices in Mount Holly, NJ and has the professional credentials of DO. The NPI Number for Dillon Clancy is 1205415536. The current practice location address for Dillon Clancy is 175 Madison Ave, Mount Holly, NJ 08060-2099 and can be reached out via phone at 609-914-6000.
Provider Profile Details
- NPI Number
- 1205415536
- Provider Name
- Dillon Clancy
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 175 Madison Ave, Mount Holly, NJ 08060-2099
- Phone Number
- 609-914-6000
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 5, 2021
- Last Update Date
- May 21, 2026
- Certification Date
- May 21, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 175 Madison Ave
Mount Holly, NJ 08060-2099 - City
- Mount Holly
- State
- New Jersey
- Zip
- 08060-2099
- Phone Number
- 609-914-6000
Provider Business Mailing Address Details
- Address
- 1501 Little Gloucester RD Apt E28
Blackwood, NJ 08012-3441 - City
- Blackwood
- State
- NJ
- Zip
- 08012-3441
- Phone Number
- 631-379-3105
License Information
- License State
- NJ
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dillon Clancy, DO?
The NPI number of Dillon Clancy, DO is 1205415536. It was assigned on April 5, 2021 and is currently active in the NPPES registry.
What is the specialty of Dillon Clancy, DO?
Dillon Clancy, DO is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Dillon Clancy, DO practice?
The practice location is 175 Madison Ave, Mount Holly, NJ 08060-2099. The office can be reached at 609-914-6000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205415536 directly on the NPPES registry website.