Mcclain, Jeffrey Richard

Mcclain, Jeffrey Richard is an individual health care provider with primary practice located at 8893 E Market St , Warren OH 44484-2351. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Mcclain, Jeffrey Richard can be contacted via phone (330) 856-7950.

Contact Information

Primary practice address
8893 E Market St Warren OH 44484-2351
Phone: (330) 856-7950
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 19684 Ohio
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 75926 Ohio

Profile Details

NPI number 1124089545
LBN Legal business name Mcclain, Jeffrey Richard
Credentials D.M.D., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Nov 5th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124089545 NPPES
Ohio MEDICAID 2114063

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