Individual provider · Type 1 NPI

Mary Eileen Clemmons, RDH

Dental Hygienist · Patrick Afb, FL

NPI number 1164575767 Active

Practice location

1381 S Patrick Dr
Patrick Afb, FL 32925-3606

Fax (321) 494-2068

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X0001982 (TX)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1164575767

Mary Eileen Clemmons, RDH's National Provider Identifier is 1164575767, issued on Jan 19, 2007. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Patrick Afb, FL. The record was last updated on Jul 8, 2007.