Mark Clemens, DDS

NPI 1013019694 · on the registry since 2006 · sole proprietor

Practice

Address: 502 Shawnee St
Leavenworth, KS 66048
Phone: (913) 651-2115
Fax: (913) 682-1218
Organisation at this address: Radiant Grins Llc
Mark A Clemens Dds Pa
Radiant Grin Solutions Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Dentist
122300000X
Licence states on file: KS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas