Provider Demographics
NPI:1275527962
Name:SLIGH, CLAY ASHLEY (DDS)
Entity Type:Individual
Prefix:
First Name:CLAY
Middle Name:ASHLEY
Last Name:SLIGH
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 1:710 COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-2913
Mailing Address - Country:US
Mailing Address - Phone:620-342-6643
Mailing Address - Fax:620-343-3361
Practice Address - Street 1:710 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801-2913
Practice Address - Country:US
Practice Address - Phone:620-342-6643
Practice Address - Fax:620-343-3361
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS604961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice