DR. RYAN WESLEY CLAYTON BS, DMD
NPI 1194254979
Dentist - General Practice in Polo, IL

Active since June 06, 2017
1107 S DIVISION AVE, POLO, IL 61064(815) 946-3848 Get Directions Write a Review

NPPES record last updated: June 6, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Ryan Wesley Clayton Bs, Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RYAN WESLEY CLAYTON BS, DMD (NPI 1194254979) is an individual general practice provider in Polo, Illinois, licensed in Illinois (019031180) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1194254979
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RYAN WESLEY CLAYTONCredential: BS, DMD
Location Address1107 S DIVISION AVEPolo, IL 61064-1875
Mailing Address11276 W Judson RdPolo, IL 61064-9042 · (815) 677-0462
Sole ProprietorYes
Enumeration DateJune 6, 2017
NPI 1194254979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019031180
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1107 S DIVISION AVE, Polo, IL 61064

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1107 S DIVISION AVE, STE 115
POLO, IL 61064
Family Medicine
1107 S DIVISION AVE, KSB MEDICAL GROUP
POLO, IL 61064

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Clayton's NPI number?

The NPI number for Ryan Clayton is 1194254979. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Where is Ryan Clayton located?

Ryan Clayton practices at 1107 S Division Ave, Polo, IL 61064. The listed phone number is (815) 946-3848.

What is Ryan Clayton's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Ryan Clayton was last updated on June 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.