IndividualActive
Ryan Clayton, BS, DMD
NPI 1194254979 · General Practice Dentistry · Polo, IL
Provider details
- NPI number
- 1194254979
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- BS, DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 019031180 (IL)
Specialties & taxonomies
Dental Providers
Practice location
1107 S Division Ave
Polo, IL 61064-1875
Phone: (815) 946-3848
Approximate (ZIP-level) locationGet directions
Mailing address
11276 W Judson Rd
Polo, IL 61064-9042
Registry dates
- Enumerated
- 2017-06-06
- Last updated
- 2017-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.