Dr. Myles R Clancy, DMD
Dentist, Pediatric Dentistry in Brookline, Massachusetts
1922456276- Practice location
- 209 Harvard St, Brookline, MA 02446-5071
- Phone
- 617-731-5437
- Fax
- —
- Last updated
- September 12, 2018
Myles Richard Clancy is a Dentist, Pediatric Dentistry based in Brookline, MA. Myles Richard Clancy practices in Brookline, MA and has the professional credentials of DMD. The NPI Number for Myles Richard Clancy is 1922456276 and holds a License No. DN1857946 (MA). The current practice location address for Myles Richard Clancy is 209 Harvard St, Brookline, MA 02446-5071 and can be reached out via phone at 617-731-5437.
Provider Profile Details
- NPI Number
- 1922456276
- Provider Name
- Myles Richard Clancy
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 209 Harvard St, Brookline, MA 02446-5071
- Phone Number
- 617-731-5437
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 27, 2016
- Last Update Date
- September 12, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 209 Harvard St
Brookline, MA 02446-5071 - City
- Brookline
- State
- Massachusetts
- Zip
- 02446-5071
- Phone Number
- 617-731-5437
Provider Business Mailing Address Details
- Address
- 801 S Paulina St
M/C 850, Rm 256
Chicago, IL 60612-7210 - City
- Chicago
- State
- IL
- Zip
- 60612-7210
License Information
- License Number (1)
- DN1857946
- License State (1)
- MA
- Taxonomy (1)
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Pediatric Dentistry providers near Brookline, MA
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- Dr. Annamarie Defeo, DDS, MSDentist, Pediatric Dentistry · NPI 1679534028
- Dr. Ava Ghassemi, DMDDentist, Pediatric Dentistry · NPI 1073139184
- Dr. John Ficarelli, DMDDentist, Pediatric Dentistry · NPI 1407817141
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Frequently Asked Questions
What is the NPI number of Dr. Myles R Clancy, DMD?
The NPI number of Dr. Myles R Clancy, DMD is 1922456276. It was assigned on May 27, 2016 and is currently active in the NPPES registry.
What is the specialty of Dr. Myles R Clancy, DMD?
Dr. Myles R Clancy, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in MA under license number DN1857946.
Where does Dr. Myles R Clancy, DMD practice?
The practice location is 209 Harvard St, Brookline, MA 02446-5071. The office can be reached at 617-731-5437 (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 1922456276 directly on the NPPES registry website.