Active NPI 1316955107 Individual Practitioner Male Practitioner

Dr. Jonathan Christopher Clemetson , DDS

Dentist - General Practice • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Clemetson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Dallas, TX. Practice services are available at 1700 PACIFIC AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1700 Pacific Ave
Suite 260

Dallas, TX 752014617

Telephone 2146510005

Fax 2146511419

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Dallas, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 15.7 Yrs

State Avg: 12.3 Yrs

Regional Practice Density

749 Specialists

Practicing in Dallas, TX (10570 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 TX 21234

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

163530201 (TX)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 07, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location January 07, 2009

Registered at 1700 PACIFIC AVE, SUITE 260, DALLAS, TX 752014617 (Tel: 2146510005)

📍

Updated Business Mailing Address January 07, 2009

Registered at 7416 CORONADO AVE, APT. 6, DALLAS, TX 752145834 (Tel: 2143245468)

👤

Provider Name / Credentials Updated January 07, 2009

Recorded as JONATHAN CLEMETSON, D. D. S.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2009

Dentist (License #21234 in TX)

🟢

Initial NPI Registration & Enumeration August 04, 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: 1316955107

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 04, 2006

Last Update: January 07, 2009

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

7416 Coronado Ave, Apt. 6

Dallas, TX 752145834

Phone: 2143245468

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.