Dr. Nancy L Clelland, DMD
Dentist, Prosthodontics in Columbus, OH. Individual provider (NPI-1).
NPI number1720161128
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720161128
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nancy L Clelland
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0700X | Dentist, Prosthodontics | 30-01-9024 | OH | Yes |
Practice location
305 W 12th AveColumbus, OH 43210-1267
Phone 614-292-1472 · Fax 614-292-9422
Mailing address
989 Willow Bluff DrColumbus, OH 43235-5051
Phone 614-459-4603 · Fax 614-292-9422
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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