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:

Map and Directions

Health care specialties

Specialty	Code	License #	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

State	Type	Number	Issuer
All States	NPI	1720063241	NPPES
Oregon	MEDICAID	278461

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