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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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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