Clemens, Jennifer Lynn

Clemens, Jennifer Lynn is an individual health care provider with primary practice located at 408 Lancaster Dr Ne , Salem OR 97301-4728. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Clemens, Jennifer Lynn can be contacted via phone (503) 362-3032.

Contact Information

Primary practice address
408 Lancaster Dr Ne Salem OR 97301-4728
Phone: (503) 362-3032
Fax: (503) 362-4647
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS036047 Pennsylvania
Dental Providers / Dentist 122300000X D8835 Oregon

Profile Details

NPI number 1720063241
LBN Legal business name Clemens, Jennifer Lynn
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Nov 25th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720063241 NPPES
Oregon MEDICAID 278461

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