Provider Demographics
NPI:1649372699
Name:CLAFFEY, ELIZABETH M (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:M
Last Name:CLAFFEY
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4203 GANTZ RD
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-2993
Mailing Address - Country:US
Mailing Address - Phone:614-277-9455
Mailing Address - Fax:614-277-9133
Practice Address - Street 1:4203 GANTZ RD
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-2993
Practice Address - Country:US
Practice Address - Phone:614-277-9455
Practice Address - Fax:614-277-9133
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300204551223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics