Individual
DR. JERRY C CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2420 SO 51 CT, FORT SMITH, AR 72903
(479) 452-4393
(479) 484-5865
Mailing address
2420 SO 51 CT, FORT SMITH, AR 72903
(479) 452-4393
(479) 484-5865
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AR1951
AR
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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