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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEITH D. CLEMENCE, DDS

Active Organization

KEITH D. CLEMENCE, DDS is a General Dentistry organization located in HALES CORNERS, Wisconsin. NPI 1710105630 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · HALES CORNERS, WI

Registration Details

NPI Number
1710105630
Provider Type
Organization
NPI Issued
Apr 23, 2007 (19.321313122788 yrs)
Last Updated
Aug 22, 2020
Licenses
5001459 (WI)
5001558 (WI)

Practice Information

Address
5751 S 108TH ST
HALES CORNERS, WI, 531301940
Browse WI providers · Browse ZIP 53130
Phone
4144250120
Fax
4144250978
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Organizations in HALES CORNERS, WI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.