Clemons, Scott Bryan

Clemons, Scott Bryan is an individual health care provider with primary practice located at 1950 Lower Muscatine Rd , Iowa City IA 52240-3108. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Clemons, Scott Bryan can be contacted via phone (319) 337-6226.

Contact Information

Primary practice address
1950 Lower Muscatine Rd Iowa City IA 52240-3108
Phone: (319) 337-6226
Fax: (319) 354-9650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7640 Iowa

Profile Details

NPI number 1356478275
LBN Legal business name Clemons, Scott Bryan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Mar 26th, 2015 - about 11 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 1356478275 NPPES
Iowa MEDICAID 0115162
Iowa Other 1437247202

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