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CLAY DENTAL CLINIC
NPI 1912088410
Dentist - General Practice in Clay, WV

Active since October 18, 2006
63 CARR ST, CLAY, WV 25043(304) 587-4232(304) 587-2092 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clay Dental Clinic NPPES

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

CLAY DENTAL CLINIC (NPI 1912088410) is a healthcare organization registered as a general practice in Clay, West Virginia and active in the NPI registry since October 2006. The organization lists Russell Brooks Legg, Owner, as its authorized official.

NPPES Registry Identity

NPI1912088410
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameR. BROOKS LEGG JR.
Location Address63 CARR STClay, WV 25043-0000
Mailing Address63 Carr St, P.o Box 568Clay, WV 25043-9402 · (304) 587-4232 · Fax (304) 587-2092
Phone(304) 587-4232
Fax(304) 587-2092
Organization SubpartNo
Authorized OfficialRussell Brooks LeggOwner · (304) 587-4232
Enumeration DateOctober 18, 2006
Last NPPES UpdateJune 18, 2008
✔ NPI 1912088410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WV · WV2123
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.
63 CARR ST, Clay, WV 25043
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Other Names 1

Doing Business AsClay Dental Clinic

Other Identifiers 1

Medicaid3810005754WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. RUSSELL BROOKS LEGG VII D.D.S.
Dentist (General Practice)
63 CARR ST
CLAY, WV 25043
Clay County (304) 587-4232
JOHN G. HUBBARD, DDS, PLLC
Dentist (General Practice)
63 CARR ST
CLAY, WV 25043
Clay County (304) 587-4232

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 R. Brooks Legg Jr.'s NPI number?

The NPI number for R. Brooks Legg Jr. is 1912088410. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider is doing business as Clay Dental Clinic.

Where is R. Brooks Legg Jr. located?

R. Brooks Legg Jr. is located at 63 Carr St, Clay, WV 25043. The listed phone number is (304) 587-4232.

What is R. Brooks Legg Jr.'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 R. Brooks Legg Jr. was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.