Individual provider · Type 1 NPI

Edward Jacob Clemons Iii, DDS

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1003508755 Active

Practice location

1015 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318-6653

Call (404) 523-6571 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003508755

Edward Jacob Clemons Iii, DDS's National Provider Identifier is 1003508755, issued on May 22, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on May 22, 2023.