Provider Demographics
NPI:1871866749
Name:ROBERT S CLAYPOOL DDS INC
Entity Type:Organization
Organization Name:ROBERT S CLAYPOOL DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:CLAYPOOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-438-1800
Mailing Address - Street 1:7104 N. FRESNO ST.
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720
Mailing Address - Country:US
Mailing Address - Phone:559-438-1800
Mailing Address - Fax:559-438-1801
Practice Address - Street 1:7104 N FRESNO ST
Practice Address - Street 2:SUITE 102
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2970
Practice Address - Country:US
Practice Address - Phone:559-438-1800
Practice Address - Fax:559-438-1801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-22
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA322841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty