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).
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 |
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 |
Street Address |
2140 KINGSLEY AVE SUITE 4 |
City | ORANGE PARK |
State | FL |
Zip Code | 32073-5180 |
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 |
Find all providers in the same location |
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 Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
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 |
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 |
City | ORANGE PARK |
Zip Code | 32073 |
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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.