Dr Kirby Clements Sr, DDS MSCD is a
Dentist - Prosthodontics based in Decatur, California. Dr Kirby Clements Sr is licensed to practice in Georgia (license number 8649) and his current practice location is
4555 Flat Shoals Pkwy, Suite 102, Decatur, California. He can be reached at his office (for appointments etc.) via phone at
(404) 241-7710.
NPI number for Dr Kirby Clements Sr is 1912077462 and his current mailing address is 4555 Flat Shoals Pkwy, Suite 102, Decatur, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912077462.
Healthcare Provider's Profile
| Full Name | Dr Kirby Clements Sr |
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| Gender | Male |
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| Speciality | Dentist - Prosthodontics |
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| Location | 4555 Flat Shoals Pkwy, Decatur, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912077462
- Provider Enumeration Date: 11/09/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Kirby Clements Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912077462 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223P0700X | Dentist - Prosthodontics | 8649 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kirby Clements Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kirby Clements Sr, DDS MSCD
4555 Flat Shoals Pkwy, Suite 102,
Decatur, CA 30034
Ph: (404) 241-7710 | Dr Kirby Clements Sr, DDS MSCD
4555 Flat Shoals Pkwy, Suite 102,
Decatur, CA 30034
Ph: (404) 241-7710 |
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