Individual
DR. JOSEPH V CLEMMONS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6425 STAGE RD, SUITE #4, BARTLETT, TN 38134-3731
(901) 372-3555
(901) 386-9849
Mailing address
6425 STAGE RD, SUITE #4, BARTLETT, TN 38134-3731
(901) 372-3555
(901) 386-9849
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000004764
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0160145
BC/BS OF TN
TN
01
—
632057
UNITED CONCORDIA
TN
Enumeration date
09/25/2006
Last updated
07/08/2007
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