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

Dr. Edward Jacob Clemons III, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003508755

Dr. Edward Jacob Clemons III, DDS is a Student in an Organized Health Care Education/Training Program in Atlanta, Georgia. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1015 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318-6653
Phone: (404) 523-6571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1003508755
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 22, 2023
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023

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