Individual
DR. DUSTIN S. CLEVIDENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1311 KIMBER LN STE 3, EVANSVILLE, IN 47715-9149
(812) 477-3393
(812) 479-4120
Mailing address
PO BOX 553, MORGANFIELD, KY 42437-0553
(270) 389-0812
(270) 389-0812
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9292
KY
1223G0001X
General Practice Dentistry
Primary
12011963
IN
1223G0001X
General Practice Dentistry
9292
KY
Other
Enumeration date
05/24/2013
Last updated
11/29/2023
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