# IRA M. KLEMONS, D.D.S., PH.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Center for Headaches and Facial Pain
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740469428
- **Authorized official:** DR. IRA M KLEMONS D.D.S., PH.D. (DIRECTOR)
- **Authorized official phone:** (732) 727-5000

## Contact information

- **Practice address:** 2045 ROUTE 35, SOUTH AMBOY, NJ 08879-2069
- **Practice address phone:** (732) 727-5000
- **Practice address fax:** (732) 727-5497
- **Mailing address:** 2045 ROUTE 35, SOUTH AMBOY, NJ 08879-2069
- **Mailing address phone:** (732) 727-5000
- **Mailing address fax:** (732) 727-5497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI01120400 | NJ | Yes |

## Other

- **Enumeration date:** 10/30/2007
- **Last updated:** 10/30/2007
