Active NPIOrganization

Ryan M Clancy DMD PC

Dentist, General Practice in Medford, Massachusetts

NPI Number1487676342
Practice location
80 High St, Medford, MA 02155-3872
Fax
781-396-8559
Last updated
January 2, 2014

Ryan M Clancy DMD PC is a healthcare organization based in Medford, MA. Ryan M Clancy DMD PC practices in Medford, MA. The NPI Number for Ryan M Clancy DMD PC is 1487676342 and holds a License No. 20405 (MA). The current practice location address for Ryan M Clancy DMD PC is 80 High St, Medford, MA 02155-3872 and can be reached out via phone at 781-396-8558 and via fax at 781-396-8559.

Provider Profile Details

NPI Number
1487676342
Provider Name
Ryan M Clancy DMD PC
Provider Entity Type
Organization
Address
80 High St, Medford, MA 02155-3872
Phone Number
781-396-8558
Fax Number
781-396-8559
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Ryan M Clancy, DMD · President · 781-396-8558
Provider Enumeration Date
July 23, 2006
Last Update Date
January 2, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
80 High St
Medford, MA 02155-3872
Zip
02155-3872
Phone Number
781-396-8558
Fax Number
781-396-8559
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
80 High St
Medford, MA 02155-3872
City
Medford
State
MA
Zip
02155-3872
Phone Number
781-396-8558
Fax Number
781-396-8559

License Information

License Number
20405
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ryan M Clancy DMD PC?

The NPI number of Ryan M Clancy DMD PC is 1487676342. It was assigned on July 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Ryan M Clancy DMD PC?

Ryan M Clancy DMD PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 20405.

Where does Ryan M Clancy DMD PC practice?

The practice location is 80 High St, Medford, MA 02155-3872. The office can be reached at 781-396-8558 (phone) or 781-396-8559 (fax).

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 1487676342 directly on the NPPES registry website.

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