Christopher Lee Clemens, DMD
Individual provider Active NPI General Practice Dentistry · New London, NH
NPI 1780427435 · NPPES record last updated Jun 18, 2024
Key facts
- NPI
- 1780427435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 05089 (NH)
- Practice address
- 125 Newport Rd
New London, NH 03257-5415 - Phone
- (603) 526-6655
- NPI assigned
- Jun 18, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05089 | NH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory P. Gutgsell DDS & Darren M Phipps DDS, Prof Assn | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 05089 | NH | Yes |
Addresses
Primary practice location
125 Newport Rd
New London, NH 03257-5415
Mailing address
42 Wolf Rd Unit 621
Lebanon, NH 03766-1935
Phone (330) 614-4504
Other providers in New London, NH
- Kirsten Butkovsky
- Diane C. Caldwell
- Megan Call
- Daniel J Carlin
- CL Counseling PLLC
- Colonial Clinical Services LLC
- Concord Orthopaedics Professional Association
- Concord Pediatric Dentistry of New London, PLLC
- Jesse Corriveau
- Counseling Associates of New London PLLC
All providers in New London, NH · General Practice Dentistry in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.