# JEFFREY RICHARD MCCLAIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124089545
- **Gender:** Man
- **Credential:** D.M.D., M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 19684 | OH | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 75926 | OH | Yes |

## Other

- **Enumeration date:** 03/28/2006
- **Last updated:** 11/05/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2114063 | — | OH |