DR. JENNIFER LYNN CLEMENS (NPI# 1720063241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720063241 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LYNN CLEMENS |
| Other Name | DR. JENNIFER LYNN MILLS |
| Credential | DMD |
| Practice Address |
408 Lancaster Dr Ne Salem OR 97301-4728 |
| Mailing Address |
250 Mirasol Ave Se Salem OR 97306-8593 |
| Practice Telephone | 5033623032 |
| Practice Fax Number | 5033624647 |
| Mailing Telephone | 5036896050 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2008-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D8835 | OR | Dental Providers |
| N | 122300000X | Dentist | DS036047 | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 278461 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376872556 | Jennifer Clemens | Speech-Language Pathologist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2009-12-16 |
| Street Address |
408 LANCASTER DR NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-4728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255943924 | Natasha Bodiroga | Dentist | 408 Lancaster Dr Ne, Salem, OR 97301-4728 | 2020-08-23 |
| 1295217859 | Paul Kinghorn | Dentist | 408 Lancaster Dr Ne, Salem, OR 97301-4728 | 2018-08-30 |
| 1669877270 | Capital Dental | Clinic/Center | 408 Lancaster Dr Ne, Salem, OR 97301-4728 | 2014-10-24 |
| 1730439134 | Kaushali Patel | Dentist | 408 Lancaster Dr Ne, Salem, OR 97301-4728 | 2012-09-12 |
| 1699089375 | Jordan Michael Biniker | Dentist | 408 Lancaster Dr Ne, Salem, OR 97301-4728 | 2010-08-04 |
| 1336339670 | Melinda Joy Judd | Dentist | 408 Lancaster Dr Ne, Salem, OR 97301-4728 | 2007-08-01 |
| 1457551954 | Bruce A. Sellers | Dentist | 408 Lancaster Dr Ne, Salem, OR 97301-4728 | 2007-07-23 |
| 1164595518 | Mark Allen Thomas | Dentist | 408 Lancaster Dr Ne, Salem, OR 97301-4728 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811537665 | My Smile Experience P.C. | Dentist | 99 Rockingham Park Blvd # W111b, Salem, NH 03079-2900 | 2020-01-09 |
| 1861047532 | Kathy Trinh | Dentist | 1920 Turner Rd Se, Suite B, Salem, OR 97302-2003 | 2019-08-08 |
| 1699266981 | Morgan Nicole Shivers | Dentist | 2951 Oh-45, Salem, OH 44460 | 2018-05-23 |
| 1730684937 | Eva Chiu | Dentist | 142a Canal St, Salem, MA 01970-4650 | 2018-03-28 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1942652557 | Karin Arsenault | Dentist | 32 Stiles Rd Ste 208, Salem, NH 03079-2894 | 2016-07-07 |
| 1811391527 | Hala Mahmod | Dentist | 4 Lancelot Ct Apt 15, Salem, NH 03079-3529 | 2014-10-09 |
| 1871907139 | Pure Dental PC | Dentist | 3470 Pipebend Pl Ne Ste 110, Salem, OR 97301-1741 | 2014-06-16 |
| 1669811071 | Stephanie Nicole Vlahos | Dentist | 1930 Braeburn Dr Ste A, Salem, VA 24153-7391 | 2013-06-19 |
| 1568705168 | Alfred Joseph Sotera | Dentist | 12 Stiles Road, Suite 206, Salem, NH 03079-2881 | 2013-04-02 |
| Find all providers in SALEM | ||||
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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.