Booth, Clayton

Booth, Clayton is an individual health care provider with primary practice located at 59 Dg-Af Postgraduate Dental School 2133 Pepperrell St, Bldg 3352, Jbsa-Lackland TX 78236-5313. He recently has 3 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Booth, Clayton can be contacted via phone (210) 292-6258.

Contact Information

Primary practice address
59 Dg-Af Postgraduate Dental School 2133 Pepperrell St, Bldg 3352 Jbsa-Lackland TX 78236-5313
Phone: (210) 292-6258
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 12879487-9922 Utah
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X 12879487-9922 Utah

Profile Details

NPI number 1518696806
LBN Legal business name Booth, Clayton
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2022
Last updated Aug 22nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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