Grant D. Mcclendon Dmd Pllc | |
1118 Finnegan Way Ste 101 Bellingham WA 98225-6656 | |
(360) 676-0760 | |
Not Available |
Full Name | Grant D. Mcclendon Dmd Pllc |
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Speciality | Dentist |
Location | 1118 Finnegan Way Ste 101, Bellingham, Washington |
Authorized Official Name and Position | Grant Mcclendon (OWNER/CEO) |
Authorized Official Contact | 8018853207 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Grant D. Mcclendon Dmd Pllc 1118 Finnegan Way Ste 101 Bellingham WA 98225-6656 Ph: (360) 676-0760 | Grant D. Mcclendon Dmd Pllc 1118 Finnegan Way Ste 101 Bellingham WA 98225-6656 Ph: (360) 676-0760 |
NPI Number | 1508521394 |
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Provider Enumeration Date | 11/05/2021 |
Last Update Date | 11/05/2021 |
Medicare PECOS PAC ID | 8729455209 |
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Medicare Enrollment ID | O20221114001676 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508521394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Provider Name | Grant Daniel Mcclendon |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1548641707 PECOS PAC ID: 3274900758 Enrollment ID: I20221114001758 |
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