Active NPIIndividual provider

Dr. Christopher K Clancy, DMD

Dentist, Oral and Maxillofacial Surgery in Worcester, Massachusetts

NPI Number1659442325
Practice location
299 Lincoln St, Suite 204, Worcester, MA 01605-3609
Fax
508-852-0031
Last updated
July 8, 2007

Christopher Kevin Clancy is a Dentist, Oral and Maxillofacial Surgery based in Worcester, MA. Christopher Kevin Clancy practices in Worcester, MA and has the professional credentials of DMD. The NPI Number for Christopher Kevin Clancy is 1659442325 and holds a License No. 20205 (MA). The current practice location address for Christopher Kevin Clancy is 299 Lincoln St, Suite 204, Worcester, MA 01605-3609 and can be reached out via phone at 508-852-0021 and via fax at 508-852-0031.

Provider Profile Details

NPI Number
1659442325
Provider Name
Christopher Kevin Clancy
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
299 Lincoln St, Suite 204, Worcester, MA 01605-3609
Phone Number
508-852-0021
Fax Number
508-852-0031
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
No
Provider Enumeration Date
November 13, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
299 Lincoln St
Suite 204
Worcester, MA 01605-3609
Zip
01605-3609
Phone Number
508-852-0021
Fax Number
508-852-0031
Worcester, MA 01605Get directions →

Provider Business Mailing Address Details

Address
299 Lincoln St
Suite 204
Worcester, MA 01605-3609
City
Worcester
State
MA
Zip
01605-3609
Phone Number
508-329-1212

License Information

License Number (1)
20205
License State (1)
MA
Taxonomy (1)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary
License Number (2)
DN16305
License State (2)
FL
Taxonomy (2)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
License Number (3)
DS035268
License State (3)
PA
Taxonomy (3)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X

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 Dr. Christopher K Clancy, DMD?

The NPI number of Dr. Christopher K Clancy, DMD is 1659442325. It was assigned on November 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Christopher K Clancy, DMD?

Dr. Christopher K Clancy, DMD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in MA under license number 20205.

Where does Dr. Christopher K Clancy, DMD practice?

The practice location is 299 Lincoln St, Suite 204, Worcester, MA 01605-3609. The office can be reached at 508-852-0021 (phone) or 508-852-0031 (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 1659442325 directly on the NPPES registry website.

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