# DAVID R. CLEPPE, D.D.S., PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275871741
- **Authorized official:** DAVID R. CLEPPE D.D.S. (PRESIDENT)
- **Authorized official phone:** (269) 240-0720

## Contact information

- **Practice address:** 16 S SAINT JOSEPH AVE, NILES, MI 49120-2847
- **Practice address phone:** (269) 240-0720
- **Mailing address:** 8425 WOODFIELD CROSSING BLVD, SUITE 100, INDIANAPOLIS, IN 46240-7315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12011205A | IN | Yes |

## Other

- **Enumeration date:** 01/17/2013
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 12011205A | DENTAL LICENSE | IN |
| 01 | — | 2901016781 | DENTAL LICENSE | MI |