Clemmons, Mary Eileen
Clemmons, Mary Eileen is an individual health care provider with primary practice located at 1381 S Patrick Dr , Patrick Afb FL 32925-3606. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Clemmons, Mary Eileen can be contacted via phone (321) 494-6366.Contact Information
Primary practice address
1381 S Patrick Dr
Patrick Afb FL 32925-3606
Phone: (321) 494-6366
Fax: (321) 494-2068
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 0001982 | Texas |
Profile Details
| NPI number | 1164575767 |
|---|---|
| LBN Legal business name | Clemmons, Mary Eileen |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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