Clemens, Gary Roger
Clemens, Gary Roger is an sole proprietor health care provider with primary practice located at 3340 S. Oak Park Ave. Suite 301, Berwyn IL 60402. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Clemens, Gary Roger can be contacted via phone (708) 795-1255.Contact Information
Primary practice address
3340 S. Oak Park Ave. Suite 301
Berwyn IL 60402
Phone: (708) 795-1255
Fax: (708) 795-1215
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | Illinois |
Profile Details
| NPI number | 1982798336 |
|---|---|
| LBN Legal business name | Clemens, Gary Roger |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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