Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Dustin S. Clevidence, DMD

Individual provider General Practice Dentistry · NPI 1114364692

Dr. Dustin S. Clevidence, DMD is a General Practice Dentistry in Evansville, Indiana. Licensed in Indiana and Kentucky. Registered with an NPI since 2013.

Licensed in
IN, KY
In the registry since
2013
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1311 Kimber Ln Ste 3
Evansville, IN 47715-9149
Phone: (812) 477-3393
Fax: (812) 479-4120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12011963 (IN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 9292 (KY)
Dentist Taxonomy 122300000X · Licence 9292 (KY)

Record details

NPI number1114364692
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 24, 2013
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023

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