Provider Demographics
NPI:1629471339
Name:CLAY H. AINLEY DDS PC
Entity Type:Organization
Organization Name:CLAY H. AINLEY DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAY
Authorized Official - Middle Name:HARRIS
Authorized Official - Last Name:AINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-961-0800
Mailing Address - Street 1:2927 RIDGE RD STE 113
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-6672
Mailing Address - Country:US
Mailing Address - Phone:972-961-0800
Mailing Address - Fax:
Practice Address - Street 1:2927 RIDGE RD STE 113
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6672
Practice Address - Country:US
Practice Address - Phone:972-961-0800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23386261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental