Provider Demographics
NPI:1750931994
Name:W. CHRISTOPHER CLAYPOOLE, DDS, PA
Entity type:Organization
Organization Name:W. CHRISTOPHER CLAYPOOLE, DDS, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:CLAYPOOLE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-641-7894
Mailing Address - Street 1:7980 ARCO CORPORATE DR STE 102
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-2072
Mailing Address - Country:US
Mailing Address - Phone:919-973-0032
Mailing Address - Fax:
Practice Address - Street 1:7980 ARCO CORPORATE DR STE 102
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-2072
Practice Address - Country:US
Practice Address - Phone:919-973-0032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-19
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1053438432Medicaid