Provider Demographics
NPI:1417919309
Name:CLAYTON, ARIANA RACHEL (DMD)
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:RACHEL
Last Name:CLAYTON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20131 HERITAGE POINT DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3338
Mailing Address - Country:US
Mailing Address - Phone:813-777-8567
Mailing Address - Fax:
Practice Address - Street 1:13801 TAMIAMI TRL
Practice Address - Street 2:SUITE B
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34287-2017
Practice Address - Country:US
Practice Address - Phone:941-426-1134
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN169511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice