DR. KENAN DAVID CLINTON


Address: 6401 Poplar Ave, Suite 260, Memphis, TN 38119-4823
Phone: 9016828847

DR. KENAN DAVID CLINTON (NPI# 1952306425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952306425
Entity Type Individual
Full Name DR. KENAN DAVID CLINTON
Credential D.D.S.
Practice Address 6401 Poplar Ave
Suite 260
Memphis
TN 38119-4823
Practice Telephone 9016828847
Practice Fax Number 9016828891
Mailing Telephone 9016828847
Mailing Fax Number 9016828891
Enumeration Date 2005-06-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
8189 TN Dental Providers

Office Location

Street Address 6401 POPLAR AVE
SUITE 260
City MEMPHIS
State TN
Zip Code 38119-4823

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881017481 Carolyn Scatamacchia Nurse Practitioner 6401 Poplar Ave, Suite 420, Memphis, TN 38119-4823 2014-02-03
1831415058 Yunna Jiang Internal Medicine 6401 Poplar Ave, Suite 400, Memphis, TN 38119-4823 2010-04-13
1215186671 Lisa P. Ford Audiologist 6401 Poplar Ave, Suite 300, Memphis, TN 38119-4823 2008-09-10
1720235021 William Todd Weiss M D Internal Medicine 6401 Poplar Ave, Suite 270, Memphis, TN 38119-4823 2008-08-19
1407030851 Pediatric Cardiology Consultants, P.C. Specialist 6401 Poplar Ave, Ste 402, Memphis, TN 38119-4823 2007-12-20
1467640045 Kathryn Byrd,md,pc. Clinic/Center 6401 Poplar Ave, Suite 324, Memphis, TN 38119-4823 2007-10-09
1891995213 Lora Jannette Mcgill Psychiatry & Neurology 6401 Poplar Ave, Suite 420, Memphis, TN 38119-4823 2007-07-23
1538362751 Sidney H Kriger Md PC Ophthalmology 6401 Poplar Ave, Suite 340, Memphis, TN 38119-4823 2007-06-06
1790838845 Cosmetic Surgery Specialists of Memphis, Pllc Plastic Surgery 6401 Poplar Ave, Suite 360, Memphis, TN 38119-4823 2007-01-20
1841367364 River City Pediatrics, P.C. Pediatrics 6401 Poplar Ave, Suite 610, Memphis, TN 38119-4823 2006-11-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417469628 Jojuan Fullwiley Behavioral Analyst 6685 Quince Rd Ste 116, Memphis, TN 38119 2017-10-27
1336675297 Jill Budynas Depriest Counselor 5583 Murray Ave Ste 203, Memphis, TN 38119 2017-05-11
1396279220 Glen Matthew Stamps Jr. Counselor 5583 Murray Ave Ste 207, Memphis, TN 38119 2017-04-18
1598117442 Hazel Aberdeen Chiropractor 1911 Memphis Tennessee, Memphis, TN 38119 2016-07-04
1831569060 E-c-t Non Emergency Medical Transport Non-emergency Medical Transport (VAN) 6869 Woodlake Dr, Memphis, TN 38119 2015-09-30
1053781617 Astrid Roman Dietitian, Registered 8020 Hillside Cv, Memphis, MS 38119 2015-09-25
1467857664 Allan Jacob Katz Counselor 5668 Rex Rd, Suite 104, Memphis, TN 38119 2014-10-30
1962836015 Judy Ann Harrick Acupuncturist 5575 Poplar Ave., #702, Memphis, TN 38119 2013-08-26
1366791949 Jennifer Denyes Bidelman Audiologist 5625 Poplar Avenue, Memphis, TN 38119 2012-08-29
1578833620 Elizabeth Mary Dion-douglass Pharmacist 2891 Kirby Parkway, Memphis, TN 38119 2012-01-06
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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558659516 Mack Endodontics Dds P.C. Dentist 5180 Park Ave Ste 300, Memphis, TN 38119-3531 2011-07-12
1043432404 Larry Kevin Wells Dentist 1755 Kirby Parkway, Suite 103, Memphis, TN 38120 2007-05-03
1265567556 James Ofarrell Shoemaker Dentist 1036 Oakhaven Rd, Memphis, TN 38119-3812 2007-02-23
1043221823 Bryce F Mccreary Dentist 7865 Educators Ln, Ste 120, Memphis, TN 38133-8191 2006-08-10
1649292582 Jerry Frank Taintor Dentist 5370 Estate Office Dr # 2, Memphis, TN 38119-3635 2006-07-23
1568024131 Memphis Endodontics, Plc Dentist 1755 Kirby Pkwy Ste 103, Memphis, TN 38120-4333 2019-07-03
1427359678 Melissa A Marchesan Dentist 875 Union Ave, Memphis, TN 38103-3513 2010-11-04
1134340219 Harvey E Matheny Dentist 7865 Educators Ln, Ste. #120, Memphis, TN 38133-8191 2007-05-02
1457485492 Edward Maurice Mack Dentist 5180 Park Ave, Suite 300, Memphis, TN 38119-3521 2007-03-14
1295862068 Bradley Metcalf Harris Dentist 1755 Kirby Pkwy, Suite 103, Memphis, TN 38120-8300 2007-02-27
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Competitor

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City MEMPHIS
Zip Code 38119

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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