IndividualActive
Mary Clemmons, RDH
NPI 1164575767 · Dental Hygienist · Patrick Afb, FL
Provider details
- NPI number
- 1164575767
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- License
- 0001982 (TX)
Specialties & taxonomies
Dental Providers
Practice location
1381 S Patrick Dr
Patrick Afb, FL 32925-3606
Phone: (321) 494-6366
Fax: (321) 494-2068
Approximate (ZIP-level) locationGet directions
Mailing address
1381 S Patrick Dr
Patrick Afb, FL 32925-3606
Registry dates
- Enumerated
- 2007-01-19
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.