DR. EDWARD JACOB CLEMONS JR.


Address: 5011 Southpark Dr, Suite 110, Durham, NC 27713-7738
Phone: 9193619700

DR. EDWARD JACOB CLEMONS JR. (NPI# 1831126309) 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) 1831126309
Entity Type Individual
Full Name DR. EDWARD JACOB CLEMONS JR.
Credential DDS
Practice Address 5011 Southpark Dr
Suite 110
Durham
NC 27713-7738
Practice Telephone 9193619700
Practice Fax Number 9193619747
Mailing Telephone 9193619700
Mailing Fax Number 9193619747
Enumeration Date 2006-06-28
Last Update Date 2008-01-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
5581 NC Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC BCBS 91662 01
NC 8991662 05

Other Providers EDWARD CLEMONS

NPI Name Taxonomy Address Enumeration
1902163470 Edward Darnell Clemons Jr. Pharmacist 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 2012-04-20

Office Location

Street Address 5011 SOUTHPARK DR
SUITE 110
City DURHAM
State NC
Zip Code 27713-7738

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851689400 Triangle Center for Emotional Wellness,pllc Counselor 5011 Southpark Dr, Su. 130, Durham, NC 27713-7738 2011-07-18
1235315771 Clemons Cosmetic & Family Dentistry Clinic/Center 5011 Southpark Dr, Suite 110, Durham, NC 27713-7738 2008-01-15
1700911336 Patricia C Ramsey Social Worker 5011 Southpark Dr, Suite 130, Durham, NC 27713-7738 2007-02-22
1518001973 Evelyn Armstrong Adams Social Worker 5011 Southpark Dr, Suite 130, Durham, NC 27713-7738 2007-02-19
1649349101 Donna Chandler Kornegay Counselor 5011 Southpark Dr, Suite 130, Durham, NC 27713-7738 2006-11-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558977074 Zoe Wellness Clinic/Center 5322 Nc 55, 102, Durham, NC 27713 2020-09-21
1194352542 Mariah Davis Counselor 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 2020-03-25
1316589138 Monarch Community/Behavioral Health 1513 Piperwood Court, Durham, NC 27713 2019-10-14
1205486081 Lisa Mesmer Barnes Nurse Practitioner 5309hwy 55, Suite 105, Durham, NC 27713 2019-09-13
1497315352 Mary Therese Wood Social Worker 1822 E Highway 54, Suite 300, Durham, NC 27713 2019-06-13
1720558307 Kevin D Simmons Counselor 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 2018-11-27
1790265585 Kelli Cryer Counselor 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 2018-08-21
1477039253 Mahavir Rx, LLC Pharmacy 6216 Fayetteville Rd Ste 105, Durham, NC 27713 2018-07-16
1811482862 Tessa Taylor Dentist 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 2018-06-22
1013401579 Emily Louise Haller Counselor 1822 E Hwy 54, Suite 300, Durham, NC 27713 2018-06-19
Find all providers in zip 27713

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
1982220356 Anne Kathryn Dorsey Dentist 1922 Bivins St, Durham, NC 27707-1402 2020-06-22
1164048625 Aman Masoomi Dentist 1205 Pondfield Way, Durham, NC 27713-7609 2020-06-21
1801417878 Logan Alexander Eaker Dentist 7 Coach Ter, Durham, NC 27713-6094 2020-04-30
1649820093 Oyegunwa and Associates II, Pllc Dentist 3219 Watkins Rd Ste 103, Durham, NC 27707-3331 2019-09-18
1568956084 Laurent Pilon Dentist 2741 Campus Walk Ave Bldg 300, Durham, NC 27705-8878 2018-06-18
1245723139 Devang Ashokbhai Patel Dentist 2609 N Duke St Ste 618, Durham, NC 27704 2018-06-14
1083113948 Deepika Verma Dmd Pllc Dentist 2003 E Nc Highway 54 Ste A, Durham, NC 27713-2483 2018-02-06
1447765094 Alterman Dhillon and Associates Dentist 202 W Nc Hwy 54, Suite 201, Durham, NC 27713 2017-12-05
1295196418 Dr Li Qian Dds Pllc Dentist 6104 Fayetteville Rd Ste 106, Durham, NC 27713-6283 2016-03-15
1841688033 Jonathan Joseph Puza Dentist 3608 University Dr Ste 104, Durham, NC 27707-6260 2014-12-23
Find all providers in DURHAM

Competitor

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City DURHAM
Zip Code 27713

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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