Organization
MCLEAN DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E MCLEAN DDS (OWNER/ PRESIDENT)
(802) 864-9111
Entity
Organization
Contact information
Practice address
1683 WILLISTON RD, SUITE 1, SOUTH BURLINGTON, VT 05403-6426
(802) 864-9111
Mailing address
1683 WILLISTON RD, SUITE 1, SOUTH BURLINGTON, VT 05403-6426
(802) 864-9111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016.0002101
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007358
—
VT
Enumeration date
12/15/2011
Last updated
12/15/2011
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