Dr. Paul William Clancy, DDS
Dentist, General Practice in Northville, MI. Individual provider (NPI-1).
NPI number1720154487
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720154487
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paul William Clancy
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 27, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2901011377 | MI | Yes |
Practice location
41620 Six MileNorthville, MI 48168-8528
Phone 248-349-3660 · Fax 248-349-4698
Mailing address
41620 Six MileNorthville, MI 48168-8528
Phone 248-349-3660 · Fax 248-349-4698
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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