Provider Demographics
NPI:1982823084
Name:CLYMAN, JOEL (DMD)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:
Last Name:CLYMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 BUCKWALTER RD
Mailing Address - Street 2:SUITE 309
Mailing Address - City:ROYERSFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-1846
Mailing Address - Country:US
Mailing Address - Phone:610-792-0400
Mailing Address - Fax:610-792-4800
Practice Address - Street 1:70 BUCKWALTER RD
Practice Address - Street 2:SUITE 309
Practice Address - City:ROYERSFORD
Practice Address - State:PA
Practice Address - Zip Code:19468-1846
Practice Address - Country:US
Practice Address - Phone:610-792-0400
Practice Address - Fax:610-792-4800
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-026989-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice