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Gary Jonathan Clague, DDS
General Practice Dentistry in Troy, Michigan
NPI 1225107618

Gary Jonathan Clague is a General Practice Dentistry based in Troy, MI and is specialized in General Practice. Gary Jonathan Clague practices in Troy, MI and has the professional credentials of DDS. The NPI Number for Gary Jonathan Clague is 1225107618 and holds a License No. 10527 (Michigan).

The current practice location address for Gary Jonathan Clague is 5127 Rochester Rd, Troy, MI and can be reached out via phone at 248-528-1611 and via fax at 248-528-0245.

Location: 5127 Rochester Rd, Troy, MI, 48085-3426
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225107618
Provider Name
Gary Jonathan Clague
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5127 Rochester Rd, Troy, MI, 48085-3426
Phone Number
248-528-1611
Fax Number
248-528-0245
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GC010527 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
5127 Rochester Rd
City
Troy
State
Michigan
Zip
48085-3426
Phone Number
248-528-1611
Fax Number
248-528-0245
person
Provider Business Mailing Address Details
Address
5127 Rochester Rd
City
Troy
State
Michigan
Zip
48085-3426
Phone Number
248-528-1611
Fax Number
248-528-0245
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
10527 (Michigan)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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