Klemons, Ira M

Klemons, Ira M is an individual health care provider with primary practice located at 2045 State Route 35 , South Amboy NJ 08879-2069. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Klemons, Ira M can be contacted via phone (732) 727-5000.

Contact Information

Primary practice address
2045 State Route 35 South Amboy NJ 08879-2069
Fax: (732) 525-8566
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X New Jersey

Profile Details

NPI number 1841393386
LBN Legal business name Klemons, Ira M
Credentials DDS PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841393386 NPPES
New Jersey Other 096787 MEDICARE PIN GROUP #
New Jersey Other 520804 MEDICARE PIN GROUP #
New Jersey Other 5530690001 MEDICARE PIN GROUP #

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