Individual
JEFFREY RICHARD MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Contact information
Practice address
8893 E MARKET ST, WARREN, OH 44484-2351
(330) 856-7950
Mailing address
8893 E MARKET ST, WARREN, OH 44484-2351
(330) 856-7950
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
19684
OH
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
75926
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2114063
—
OH
Enumeration date
03/28/2006
Last updated
11/05/2008
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