Provider Demographics
NPI:1053438432
Name:CLAYPOOLE, WILLIAM CHRISTOPHER (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CHRISTOPHER
Last Name:CLAYPOOLE
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 1:201 RED BUD LN
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-1741
Mailing Address - Country:US
Mailing Address - Phone:919-641-7895
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:919-893-2424
Practice Address - Fax:919-518-9711
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC69681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5902613Medicaid