DR. BETTY DERRICK KLEMENT


Address: 2140 Kingsley Ave, Suite 4, Orange Park, FL 32073-5180
Phone: 9042727277

DR. BETTY DERRICK KLEMENT (NPI# 1356456651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356456651
Entity Type Individual
Full Name DR. BETTY DERRICK KLEMENT
Credential DMD
Practice Address 2140 Kingsley Ave
Suite 4
Orange Park
FL 32073-5180
Practice Telephone 9042727277
Mailing Telephone 9042727277
Enumeration Date 2006-08-20
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223G0001X Dentist
Specialization: General Practice
DN009328 GA Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
DN10244 FL Dental Providers

Office Location

Street Address 2140 KINGSLEY AVE
SUITE 4
City ORANGE PARK
State FL
Zip Code 32073-5180

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245239607 James Roy Biggerstaff Family Medicine 2140 Kingsley Ave, Orange Park, FL 32073-5180 2005-07-19
1063995306 Carissa Aquino Specialist/Technologist 2140 Kingsley Ave, Orange Park, FL 32073-5180 2018-09-12
1265982045 Garrett Randall Johnson Physical Therapist 2140 Kingsley Ave, Orange Park, FL 32073-5180 2016-10-05
1710432455 Nicole Mills Physical Therapist 2140 Kingsley Ave, Suite 5, Orange Park, FL 32073-5180 2016-08-23
1891121851 Rebecca Anne Weir Physical Therapy Assistant 2140 Kingsley Ave, Suite 5, Orange Park, FL 32073-5144 2013-09-23
1427397264 Orange Park Acute Trauma,llc Surgery 2140 Kingsley Ave, Suite 14, Orange Park, FL 32073-5180 2013-02-13
1588909659 Amanda Jeanette Shinko Physician Assistant 2140 Kingsley Ave, Suite 1, Orange Park, FL 32073-5180 2012-11-30
1902188923 Rick Albarran Nurse Practitioner 2140 Kingsley Ave, Orange Park, FL 32073-5180 2011-09-15
1861790404 Amber Lynn Thomas Nurse Practitioner 2140 Kingsley Ave, Suite 14, Orange Park, FL 32073-5180 2011-03-07
1932421716 Solantic Urgent Care Pharmacy 2140 Kingsley Ave, Orange Park, FL 32073-5180 2010-02-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891309423 Kingsley Endoscopy Center LLC Clinic/Center 970 Kingsley Avenue, Orange Park, FL 32073 2020-09-01
1962028688 Esra Sari Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 2020-06-18
1104441146 Zeshan Tariq Malik Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 2020-06-16
1902421894 Ameer Hamza Student in an Organized Health Care Education/Training Program 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 2020-06-16
1497378103 Fawad Ahmed Rashid Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 2020-05-28
1477174985 Hannan Asghar Student in an Organized Health Care Education/Training Program Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 2020-05-06
1902427156 Emmanuel Iyanuloluwa Morakinyo Student in an Organized Health Care Education/Training Program 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 2020-04-29
1437799327 Dalande Leger Behavior Technician 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 2020-01-08
1215598313 Mohammad Harisullah Khan Student in an Organized Health Care Education/Training Program 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 2019-06-28
1558927970 Preetha Kamath Student in an Organized Health Care Education/Training Program Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 2019-05-10
Find all providers in zip 32073

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124580477 Angela Claire Sayoc Dentist 1555 Kingsley Ave Ste 306, Orange Park, FL 32073-9203 2019-04-04
1124512942 Comfortable Care Dental Health Professionals. P.a. Dentist 1081 Oakleaf Plantation Pkwy, Orange Park, FL 32065 2018-06-15
1285156083 Hwang M. Marino Dentist 1406 Kingsley Ave Ste A, Orange Park, FL 32073 2017-07-13
1164699864 Marilyn Pearson Dentist 38 Blanding Blvd Ste A, Orange Park, FL 32073-2282 2008-05-12
1144415209 Dawit Adugna Dentist 5000 Us Hwy. 17 S., Suite 4, Orange Park, FL 32073 2007-09-12
1679766570 Bharti B Patel Dentist 1580 Wells Rd, Suite 20, Orange Park, FL 32073-2336 2007-08-23
1679785315 Comfortable Care Dental Health Professionals, Pa Dentist 1695 Wells Road, Orange Park, FL 32073 2007-05-04
1548382344 Niyati Patel Dentist 5000 Us Highway 17, Suite 4, Orange Park, FL 32003-8231 2007-04-04
1790800241 Rashmikant R. Patel Dentist 168 Blanding Blvd, Suite 4 A-1 Dental Care, Inc., Orange Park, FL 32073-3371 2007-03-20
1295850576 Laurie Carla Johns-stoutamire Dentist 2155 Loch Rane Blvd, Orange Park, FL 32073-5719 2007-03-19
Find all providers in ORANGE PARK

Competitor

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City ORANGE PARK
Zip Code 32073

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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