# JOHN W. CLEMENZA, DMD, MD ORAL AND FACIAL SURGICAL CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1699723494
- **Authorized official:** JOHN WILLIAM CLEMENZA D.M.D., M.D. (MEMBER)
- **Authorized official phone:** (724) 981-8884

## Contact information

- **Practice address:** 3041 INNOVATION WAY, HERMITAGE, PA 16148
- **Practice address phone:** (724) 981-8884
- **Mailing address:** 3041 INNOVATION WAY, HERMITAGE, PA 16148
- **Mailing address phone:** (724) 981-8884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 03/17/2008