Individual provider · Type 1 NPI

Myles Richard Clancy, DMD

Pediatric Dentistry · Brookline, MA

NPI number 1922456276 Active

Practice location

209 Harvard St
Brookline, MA 02446-5071

Mailing address

801 S Paulina St, M/c 850, Rm 256
Chicago, IL 60612-7210

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDN1857946 (MA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1922456276

Myles Richard Clancy, DMD's National Provider Identifier is 1922456276, issued on May 27, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Brookline, MA. The record was last updated on Sep 12, 2018.