Daniel Vincent Clevenger, DDS

General Practice Dentistry · San Mateo, CA

Individual Active NPI

NPI number 1215977210

Practice location

675 Mariners Island Blvd #105
San Mateo, CA 94404
Phone
(650) 345-5711
Fax
(650) 345-5780

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NPI record

NPI
1215977210
Entity type
Individual (Type 1)
Enumeration date
June 7, 2006
Last updated
October 24, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 35701 CA

About Dr. Clevenger

Daniel Vincent Clevenger, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 675 Mariners Island Blvd #105, San Mateo, CA 94404. The NPI number 1215977210 was assigned on June 7, 2006 and the record was last updated on October 24, 2019.

Dr. Clevenger lists a license in the registry: #35701 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Daniel Vincent Clevenger, DDS?

The NPI number is 1215977210.

What is the phone number of Dr. Clevenger?

The phone number listed for the practice location is (650) 345-5711.

Where is Dr. Clevenger located?

675 Mariners Island Blvd #105, San Mateo, CA 94404.

What is the taxonomy code for Dr. Clevenger?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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