Keith D. Clemence, DDS
Keith D. Clemence, DDS is a healthcare organization registered as General Practice Dentistry in Hales Corners, WI, holding Type 2 (organization) NPI 1710105630 since 2007. The authorized official on file is Keith Clemence, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1710105630 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Keith D. Clemence, DDS |
| Other name | <Unavail> |
| Practice address | 5751 S 108TH ST, Hales Corners, WI, 53130 |
| Phone | 4144250120 |
| Fax | 4144250978 |
| Enumeration date | 2007-04-23 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Keith Clemence |
|---|---|
| Title | Owner |
| Phone | 4144250120 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Secondary | 5001459 | WI |
| 1223G0001X | General Practice Dentistry | Primary | 5001558 | WI |
Copy-ready billing details
Provider: Keith D. Clemence, DDS NPI: 1710105630 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 5751 S 108TH ST, Hales Corners, WI, 53130
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1811937808 | Keith Clemence | Individual | General Practice Dentistry | Hales Corners, WI |
Verify this record
Cross-check NPI 1710105630 against the authoritative CMS record: view Keith D. Clemence, DDS on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Keith D. Clemence, DDS?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.