MS. MARY EILEEN CLEMMONS RDH
NPI 1164575767
Dental Hygienist in Patrick Afb, FL

Q: What is Mary Clemmons's NPI number?

The NPI number for Mary Clemmons is 1164575767. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Q: What is Mary Clemmons's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Clemmons was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 19, 2007

1381 S PATRICK DR, PATRICK AFB, FL 32925(321) 494-6366(321) 494-2068 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Mary Eileen Clemmons Rdh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY EILEEN CLEMMONS RDH (NPI 1164575767) is an individual dental hygienist in Patrick Afb, Florida, licensed in Texas (0001982) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1164575767

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameMS. MARY EILEEN CLEMMONSCredential: RDH

Location Address1381 S PATRICK DRPatrick Afb, FL 32925-3606

Mailing Address1381 S Patrick DrPatrick Afb, FL 32925-3606 · (321) 494-6366 · Fax (321) 494-2068

Phone(321) 494-6366

Fax(321) 494-2068

Sole ProprietorNo

Enumeration DateJanuary 19, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1164575767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in TX · 0001982

Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

1381 S PATRICK DR, Patrick Afb, FL 32925

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Other Identifiers 1

Medicare UPINUAD-000

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADRIENNE B FAHERTY RPH

Pharmacist

1381 S PATRICK DR
PATRICK AIR FORCE BASE, FL 32925

Brevard County (321) 494-8991

DR. KIRBY GLEN HARVEY JR. M.D., M.S.

Psychiatry & Neurology (Psychiatry)

1381 S PATRICK DR
PATRICK AFB, FL 32925

Brevard County (321) 494-8234

JEANETTE NECOLE HARRIS IDMT

Military Health Care Provider (Independent Duty Medical Technicians)

1381 S PATRICK DR
PATRICK AFB, FL 32925

Brevard County (321) 494-8191

DAVID M FARRELL PT

Physical Therapist

1381 S PATRICK DR
PATRICK AFB, FL 32925

Brevard County (321) 494-8129

JOSE F EDUARDO DMD

Dentist

1381 S PATRICK DR, 45TH MEDICAL GROUP
PATRICK AFB, FL 32925

Brevard County (321) 494-6366

NAQUITA JACKSON MANNING NP

Nurse Practitioner (Women's Health)

1381 S PATRICK DR, 45TH MEDICAL GROUP
PATRICK AFB, FL 32925

Brevard County (678) 517-7363

MATTHEW PARKER PADGETT FMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

1381 S PATRICK DR
PATRICK AFB, FL 32925

Brevard County (321) 494-8234

THOMAS S HOFFMAN DO

Preventive Medicine (Occupational Medicine)

1381 S PATRICK DR, 45 MEDICAL GROUP
PATRICK AIR FORCE BASE, FL 32925

Brevard County (321) 494-5981

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Clemmons's NPI number?

The NPI number for Mary Clemmons is 1164575767. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Mary Clemmons located?

Mary Clemmons practices at 1381 S Patrick Dr, Patrick Afb, FL 32925. The listed phone number is (321) 494-6366.

What is Mary Clemmons's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Mary Clemmons was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.