DR. MCKENZIE ASHLEY CLEMENS (NPI# 1831505221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831505221 |
| Entity Type | Individual |
| Full Name | DR. MCKENZIE ASHLEY CLEMENS |
| Credential | DDS |
| Practice Address |
1201 Troy Schenectady Rd Latham NY 12110-1030 |
| Practice Telephone | 5187853084 |
| Mailing Telephone | 5187853084 |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2016-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 057999-1 | NY | Dental Providers |
| Street Address |
1201 TROY SCHENECTADY RD |
| City | LATHAM |
| State | NY |
| Zip Code | 12110-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841287133 | Jeff Jih Koa | Dentist | 1201 Troy Schenectady Rd, Suite 110, Latham, NY 12110-1028 | 2005-09-30 |
| 1851648927 | Fei Yang Xu | Dentist | 1201 Troy Schenectady Rd, Latham, NY 12110-1028 | 2012-08-08 |
| 1801100938 | Jason Lamont Harris | Dentist | 1201 Troy Schenectady Rd, Latham, NY 12110-1068 | 2010-07-30 |
| 1326100397 | Lise Bradley | Dentist | 1201 Troy Schenectady Rd, Latham, NY 12110-1028 | 2006-12-15 |
| 1093873325 | Jang Choi | Dentist | 1201 Troy Schenectady Rd, Latham, NY 12110-1028 | 2006-12-06 |
| 1144398298 | Mark Goldman | Dentist | 1201 Troy Schenectady Rd, Latham, NY 12110-1028 | 2006-11-30 |
| 1326113168 | Jacqueline Hall | Dentist | 1201 Troy Schenectady Rd, Latham, NY 12110-1028 | 2006-11-21 |
| 1487729232 | Ralph Fusco | Dentist | 1201 Troy Schenectady Rd, Latham, NY 12110-1028 | 2006-11-21 |
| 1023182946 | Stuart Resnick | Dentist | 1201 Troy Schenectady Rd, Latham, NY 12110-1028 | 2006-11-20 |
| 1346314531 | Carmen Ronca | Dentist | 1201 Troy Schenectady Rd, Latham, NY 12110-1028 | 2006-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963973 | Bayley Archinal | Physical Therapist | 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 | 2019-10-14 |
| 1114410701 | Kimberly A. Hostig Licensed Clinical Social Worker Pllc | Clinic/Center | 8 Stanley Cir Ste 11, Latham, NY 12110 | 2018-06-08 |
| 1710477260 | Colleen Phillips | Physical Therapist | 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 | 2018-05-10 |
| 1528574779 | Deborah Cannon | Specialist | 33c Waterford Avenue East, Latham, NY 12110 | 2017-12-26 |
| 1730600149 | Michael Navarrete | Dentist | 231 Wade Road Ext Unit 101, Latham, NY 12110 | 2017-07-06 |
| 1316499452 | Colonie Asc LLC | Clinic/Center | 207 Troy-schenectady Rd, Colonie, NY 12110 | 2016-10-25 |
| 1720539950 | Tania M Durante | Pharmacist | 1057 Troy-schenectady Rd, Latham, NY 12110 | 2016-10-24 |
| 1417344987 | New York Epilepsy Medicine, PC | Clinic/Center | 3 Lear Jet Ln Ste 203, Latham, NY 12110 | 2015-04-22 |
| 1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
| 1649522756 | Natasha Kapsaroff-ruiz | Nurse Practitioner | 654 Watervliet Shaker Rd, Latham, NY 12110 | 2012-10-12 |
| Find all providers in zip 12110 | ||||
| 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 |
|---|---|---|---|---|
| 1386069102 | Robert Sonn | Dentist | 13 Long Shadow Dr, Latham, NY 12110-5042 | 2014-03-03 |
| 1295958015 | Thomas Harold Finken | Dentist | 713 Troy Schenectady Rd Ste 217, Latham, NY 12110-2490 | 2007-04-10 |
| 1942349139 | Usha P Pathare | Dentist | 175 Maxwell Rd, Latham, NY 12110 | 2007-02-05 |
| 1336203827 | Charles Dermody | Dentist | 231 Wade Road Ext, Suite 101, Latham, NY 12110-1855 | 2006-12-20 |
| 1811553670 | Lydia Hunt | Dentist | 231 Wade Road Ext Unit 101, Latham, NY 12110-1855 | 2019-05-16 |
| 1235558586 | Daniel C Caban | Dentist | 9 Century Hill Dr, Latham, NY 12110-2113 | 2014-04-15 |
| 1174957641 | Gregory Michael Vallecorsa | Dentist | 4 Sunset Dr, Latham, NY 12110-2104 | 2013-09-02 |
| 1578603155 | Martin Albert Toomajian Jr. | Dentist | 623 New Loudon Rd, Latham, NY 12110-4031 | 2007-02-06 |
| 1508905696 | Prakash S Pathare | Dentist | 175 Maxwell Rd, Latham, NY 12110 | 2007-02-05 |
| 1790857944 | Capital Area Hudson Valley New York Dental, PC | Dentist | 1201 Troy Schenectady Rd, Latham, NY 12110-1028 | 2006-11-14 |
| Find all providers in LATHAM | ||||
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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.