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DR. DANIEL VINCENT CLEVENGER DDS
NPI 1215977210
Dentist - General Practice in San Mateo, CA

Active since June 07, 2006
675 MARINERS ISLAND BLVD #105, SAN MATEO, CA 94404(650) 345-5711(650) 345-5780 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Daniel Vincent Clevenger Dds NPPES

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

DR. DANIEL VINCENT CLEVENGER DDS (NPI 1215977210) is an individual general practice provider in San Mateo, California, licensed in California (35701) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1215977210
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DANIEL VINCENT CLEVENGERCredential: DDS
Location Address675 MARINERS ISLAND BLVD #105San Mateo, CA 94404
Mailing Address675 Mariners Island Blvd #105San Mateo, CA 94404 · (650) 345-5711 · Fax (650) 345-5780
Phone(650) 345-5711
Fax(650) 345-5780
Sole ProprietorYes
Enumeration DateJune 7, 2006
Last NPPES UpdateOctober 24, 2019
✔ NPI 1215977210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 35701
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.

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 Daniel Clevenger's NPI number?

The NPI number for Daniel Clevenger is 1215977210. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Daniel Clevenger located?

Daniel Clevenger practices at 675 Mariners Island Blvd #105, San Mateo, CA 94404. The listed phone number is (650) 345-5711.

What is Daniel Clevenger's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Daniel Clevenger was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.