Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN BICE CLEMOW, D.M.D., M.D.
Active Sole ProprietorJUSTIN BICE CLEMOW, D.M.D., M.D. is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in SANDUSKY, Ohio. NPI 1952504219 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · SANDUSKY, OH
Registration Details
- NPI Number
- 1952504219
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2007 (19.149550919351 yrs)
- Last Updated
- Apr 10, 2024
- Licenses
-
023915 (OH)DN18025 (FL)30.023915 (OH)35.121660 (OH)DN1856941 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2500 W STRUB RD STE ASANDUSKY, OH, 448705390Browse OH providers · Browse ZIP 44870
- Phone
- 4196278131
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
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.