DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. DEREK ALAN CLEMMER D.M.D.

MEDICARE: DR. DEREK ALAN CLEMMER D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist3565-10MS

General Provider Information

NPI Number : 1023322765
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEREK ALAN CLEMMER D.M.D.
Provider Business Mailing Address
First Line : PO BOX 92
Second Line :
City : ASHLAND
State : MS
Zip : 38603-0092
Country : US
Telephone Number : 662-224-8951
Fax Number : 662-224-6801
Provider Business Practice Location Address
First Line : 15921 BOUNDARY DR
Second Line :
City : ASHLAND
State : MS
Zip : 38603-7740
Country : US
Telephone Number : 662-224-8951
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2010
Last Update Date : 08/05/2010

Similar Medicare Providers

1821092552 — NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Practice Location Address:
15921 BOUNDARY DR
ASHLAND, MS
38603-7740
Practice Phone: 662-224-8951
Practice Fax: 662-224-6801
1558315408 — LEIGH JARVIS OROZCO FNP
Practice Location Address:
15921 BOUNDARY DR
ASHLAND, MS
38603-7740
Practice Phone: 662-224-5891
Practice Fax: 662-224-6801
1922047729 — DR. IRSHAD HUSSAIN MD
Practice Location Address:
15921 BOUNDARY DR
ASHLAND, MS
38603-7740
Practice Phone: 662-224-8951
Practice Fax: 662-224-6459
1356380067 — MRS. JOYCE L SMITH F.N.P
Practice Location Address:
15921 BOUNDARY DR
ASHLAND, MS
38603-7740
Practice Phone: 662-223-4011
Practice Fax: 662-223-4018
1114232303 — CHRISTY WILLIAMS LCSW
Practice Location Address:
15921 BOUNDARY DR
ASHLAND, MS
38603-7740
Practice Phone: 662-224-8951
Practice Fax: 662-224-6459
1972065829 — NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Practice Location Address:
15921 BOUNDARY DR
ASHLAND, MS
38603-7740
Practice Phone: 662-224-8951
Practice Fax: 662-224-6801

Directions to “ DR. DEREK ALAN CLEMMER D.M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.