Organization
DAVID R. CLEPPE, D.D.S., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R. CLEPPE D.D.S. (PRESIDENT)
(269) 240-0720
Entity
Organization
Contact information
Practice address
16 S SAINT JOSEPH AVE, NILES, MI 49120-2847
(269) 240-0720
Mailing address
8425 WOODFIELD CROSSING BLVD, SUITE 100, INDIANAPOLIS, IN 46240-7315
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011205A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12011205A
DENTAL LICENSE
IN
01
—
2901016781
DENTAL LICENSE
MI
Enumeration date
01/17/2013
Last updated
03/07/2023
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