NPI 1053671974

Mary McClendon

Practitioner Dentist Denham Springs, LA

Practice location

Address: 245 Veterans Blvd, Denham Springs, LA 70726-4720
Phone: (225) 664-2646
Mailing address: 3829 Pine Park Dr, Baton Rouge, LA 70809-2321

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 6291 (LA)

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Registry record

NPI: 1053671974
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 May 2012
Record last updated: 10 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.