Provider Demographics
NPI:1750876801
Name:CLAPP, LANDRY DAVID (DDS)
Entity type:Individual
Prefix:DR
First Name:LANDRY
Middle Name:DAVID
Last Name:CLAPP
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 1:6551 88TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-6703
Mailing Address - Country:US
Mailing Address - Phone:806-676-4597
Mailing Address - Fax:
Practice Address - Street 1:1610 5TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79401-2622
Practice Address - Country:US
Practice Address - Phone:806-765-2611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-29
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX340811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice