# MACLEAN & JUNGDAHL, DMD, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467797134
- **Authorized official:** DOUGLAS C MACLEAN DMD (SECRETARY TREASURER)
- **Authorized official phone:** (513) 424-5339

## Contact information

- **Practice address:** 1035 SUMMITT DR, MIDDLETOWN, OH 45042-3464
- **Practice address phone:** (513) 424-5339
- **Practice address fax:** (513) 422-1646
- **Mailing address:** 1035 SUMMITT DR, MIDDLETOWN, OH 45042-3464
- **Mailing address phone:** (513) 424-5339
- **Mailing address fax:** (513) 422-1646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | 20757 | OH | Yes |

## Other

- **Enumeration date:** 12/06/2012
- **Last updated:** 12/06/2012