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Deactivated NPI 1578638359 Deactivated / Inactive NPI Male Practitioner

Dr. Fred Nelson Clements , DMD

Dentist - General Practice • Valdosta, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Fred Clements has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 21, 2006
NPI Deactivation Date January 22, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Fred Clements, DMD was a registered Dentist - General Practice practicing in Valdosta, GA. Throughout an active medical career spanning 13 years, Dr. Clements provided care at the practice location at 2310 N PATTERSON ST BLDG E until profile deactivation on 2019-01-22.

Practice Location & Contact Primary Location

Practice Address

2310 N Patterson St Bldg E

Valdosta, GA 316022500

Telephone 2292425511
Fax 2292457734
Associated Practice Facility / Clinic
🏢 Nelson Clements Dmd Inc Facility NPI 1477975597

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Valdosta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
29 Specialists

Practicing in Valdosta, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN009150

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Ranya Tomlinson , DMD

Dentist - General Practice

NPI 1194384982

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 22, 2019

Record deactivated on January 22, 2019

NPI Profile Active May 24, 2010

NPI status registered as active in NPPES database

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Updated Practice Location May 24, 2010

Registered at 2310 N PATTERSON ST BLDG E, VALDOSTA, GA 316022500 (Tel: 2292425511)

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Updated Business Mailing Address May 24, 2010

Registered at 2310 N PATTERSON ST BLDG E, VALDOSTA, GA 316022500 (Tel: 2292425511)

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Provider Name / Credentials Updated May 24, 2010

Recorded as FRED CLEMENTS, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2010

Dentist (License #DN009150 in GA)

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Initial NPI Registration & Enumeration November 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578638359
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2006
Last Update: May 24, 2010
Deactivation Date: January 22, 2019

Mailing Address

2310 N Patterson St Bldg E

Valdosta, GA 316022500

Phone: 2292425511

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.