Mary Mcclellan Dmd

LBN: Mary Mcclellan Dmd
Mary Mcclellan Dmd is an health care organization with primary practice located at 950 Francis Pl Ste 310 , Saint Louis MO 63105-2465. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Mary Mcclellan Dmd can be contacted via phone (314) 726-6966, or through Mcclellan, Mary via phone (314) 726-6966.

Contact Information

Primary practice address
950 Francis Pl Ste 310 Saint Louis MO 63105-2465
Phone: (314) 726-6966
Fax: (314) 726-5194
Website:
Map and Directions
Authorized official contact:
Name: Mcclellan, Mary Doctor of Dental Medicine (DMD)
Phone: (314) 726-6966

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 13748 Missouri

Profile Details

NPI number 1932316981
LBN Legal business name Mary Mcclellan Dmd
DBA Doing business as
Authorized official Mcclellan, Mary Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932316981 NPPES
Missouri Other 13748 STATE LISCENSE

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