Provider Demographics
NPI:1083819601
Name:CLAYMAN & RILEY PC
Entity Type:Organization
Organization Name:CLAYMAN & RILEY PC
Other - Org Name:OMS CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MD
Authorized Official - Phone:248-262-9100
Mailing Address - Street 1:29355 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE # 200
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-1053
Mailing Address - Country:US
Mailing Address - Phone:248-262-9100
Mailing Address - Fax:248-350-2686
Practice Address - Street 1:29355 NORTHWESTERN HWY
Practice Address - Street 2:SUITE # 200
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1053
Practice Address - Country:US
Practice Address - Phone:248-262-9100
Practice Address - Fax:248-350-2686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3313706Medicaid
MIJ800131OtherDENTAL GROUP
MI0F30071OtherORAL SURGERY
MI3222652Medicaid
MIOF30072OtherMEDICAL GROUP
MI3313706Medicaid
MI0F30071OtherORAL SURGERY