Provider Demographics
NPI:1225056104
Name:GEORGE W. CLAY III, D.D.S., P.A.
Entity Type:Organization
Organization Name:GEORGE W. CLAY III, D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:W
Authorized Official - Last Name:CLAY
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:828-256-7958
Mailing Address - Street 1:2388 SPRINGS RD NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-3066
Mailing Address - Country:US
Mailing Address - Phone:828-256-7958
Mailing Address - Fax:828-256-8499
Practice Address - Street 1:2388 SPRINGS RD NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-3066
Practice Address - Country:US
Practice Address - Phone:828-256-7958
Practice Address - Fax:828-256-8499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC40431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty