Skip Navigation

Provider Information for 1073691234

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MR. MATTHEW J CLEMENTE DDS

Gender: MALE

Individual NPI: 1073691234

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1073691234
Enumeration Date 2006-11-02
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 325 OAKWOOD AVENUE
TROY, NY 12182
United States

Phone: 518-663-5404 | Fax:
View Map External Link
Primary Practice Address 325 OAKWOOD AVENUE
TROY, NY 12182
United States

Phone: 518-237-2202 | Fax: 518-237-7371
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist NY 0383791