Edward J. Clemons Jr., Dds, Pa
LBN: Clemons Cosmetic & Family Dentistry
Edward J. Clemons Jr., Dds, Pa is an health care organization with primary practice located at 5011 Southpark Dr Suite 110, Durham NC 27713-7738. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty.
Clemons Cosmetic & Family Dentistry can be contacted via phone (919) 361-9700, or through Clemons, Edward Jacob via phone (919) 361-9700.
Contact Information
Primary practice address
5011 Southpark Dr Suite 110
Durham NC 27713-7738
Phone: (919) 361-9700
Fax: (919) 361-9747
Website:
Authorized official contact:
Name: Clemons, Edward Jacob Doctor of Dental Surgery (DDS)
Phone: (919) 361-9700
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | 5581 | North Carolina |
Profile Details
| NPI number | 1235315771 |
|---|---|
| LBN Legal business name | Clemons Cosmetic & Family Dentistry |
| DBA Doing business as | Edward J. Clemons Jr., Dds, Pa |
| Authorized official | Clemons, Edward Jacob Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 15th, 2008 |
| Last updated | Jun 29th, 2015 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235315771 | NPPES |
| North Carolina | Other | 91662 | BCBS |
| North Carolina | MEDICAID | 8991662 | BCBS |
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