# DR. WARREN CLYDE FLEMMER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1942397609
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2912 | TN | Yes |
| 1223G0001X | General Practice Dentistry | DS002912 | TN | — |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 11/01/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0017882 | BCBST - ID \# | TN |
| 01 | — | 0017882 | BLUECROSS BLUESHIELD | — |