Individual
DR. WARD WILLIAM CLEMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., P.A.
Contact information
Practice address
3600 OLD GREENWOOD RD, SUITE 2, FORT SMITH, AR 72903-5929
(479) 434-6894
(479) 434-6896
Mailing address
3600 OLD GREENWOOD RD, SUITE 2, FORT SMITH, AR 72903-5929
(479) 434-6894
(479) 434-6896
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2820
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121451608
—
AR
05
—
175067
—
OK
01
—
2820
LICENSE #
AR
01
—
71-0751372
TAX ID #
AR
Enumeration date
09/13/2006
Last updated
07/31/2013
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