Provider Demographics
NPI:1154549277
Name:KLAYTON, JOAN P (DMD)
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:P
Last Name:KLAYTON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:20 CREST RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-3446
Mailing Address - Country:US
Mailing Address - Phone:732-671-7117
Mailing Address - Fax:732-706-1666
Practice Address - Street 1:588 E BAY AVE
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-3392
Practice Address - Country:US
Practice Address - Phone:609-597-3500
Practice Address - Fax:609-597-2542
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI143151223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics