CLEMENCE DENTAL GROUP
NPI 1710105630
Dentist - General Practice in Hales Corners, WI

Q: What is Keith D. Clemence, Dds's NPI number?

The NPI number for Keith D. Clemence, Dds is 1710105630. It was assigned to this organization in the NPPES registry on April 23, 2007. The provider is also known as Clemence Dental Group.

Q: What is Keith D. Clemence, Dds's specialty?

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

Active since April 23, 2007

5751 S 108TH ST, HALES CORNERS, WI 53130(414) 425-0120(414) 425-0978 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Clemence Dental Group NPPES

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

CLEMENCE DENTAL GROUP (NPI 1710105630) is a healthcare organization registered as a general practice in Hales Corners, Wisconsin and active in the NPI registry since April 2007. The organization lists Keith D Clemence, Owner, as its authorized official.

NPPES Registry Identity

NPI1710105630

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameKEITH D. CLEMENCE, DDS

Location Address5751 S 108TH STHales Corners, WI 53130-1940

Mailing Address5751 S 108th StHales Corners, WI 53130-1940 · (414) 425-0120 · Fax (414) 425-0978

Phone(414) 425-0120

Fax(414) 425-0978

Organization SubpartNo

Authorized OfficialKeith D ClemenceOwner · (414) 425-0120

Enumeration DateApril 23, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1710105630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in WI · 5001558✔ Licensed in WI · 5001459

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.

5751 S 108TH ST, Hales Corners, WI 53130

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Other Names 1

Other NameClemence Dental Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. KEITH DOUGLAS CLEMENCE DDS

Dentist (General Practice)

5751 S 108TH ST
HALES CORNERS, WI 53130

Milwaukee County (414) 425-0120

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 Keith D. Clemence, Dds's NPI number?

The NPI number for Keith D. Clemence, Dds is 1710105630. It was assigned to this organization in the NPPES registry on April 23, 2007. The provider is also known as Clemence Dental Group.

Where is Keith D. Clemence, Dds located?

Keith D. Clemence, Dds is located at 5751 S 108th St, Hales Corners, WI 53130. The listed phone number is (414) 425-0120.

What is Keith D. Clemence, Dds'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 Keith D. Clemence, Dds was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.