Provider Demographics
NPI:1144377565
Name:CLAYTON, FRANK (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:CLAYTON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4320 SUWANEE DAM RD
Mailing Address - Street 2:SUITE 1800
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-1918
Mailing Address - Country:US
Mailing Address - Phone:770-932-0290
Mailing Address - Fax:
Practice Address - Street 1:4320 SUWANEE DAM RD
Practice Address - Street 2:SUITE 1800
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6542
Practice Address - Country:US
Practice Address - Phone:770-932-0290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA121061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice