Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIRBY CLEMENTS SR., DDS MSCD
ActiveDR. KIRBY CLEMENTS SR., DDS MSCD is a Pediatric Dentistry healthcare provider located in DECATUR, California. NPI 1912077462 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · DECATUR, CA
Registration Details
- NPI Number
- 1912077462
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 9, 2006 (19.792009397845 yrs)
- Last Updated
- Jul 8, 2007
- License
-
8649 (GA)
Practice Information
- Address
-
4555 FLAT SHOALS PKWYSUITE 102DECATUR, CA, 30034Browse CA providers · Browse ZIP 30034
- Phone
- 4042417710
- Fax
- 4042418497
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.