Organization
MCLAIN & PECK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELAINE M MCLAIN DDS (DENTIST PARTNER)
(802) 442-6379
Entity
Organization
Contact information
Practice address
119 UNION ST, BENNINGTON, VT 05201-2406
(802) 442-6379
Mailing address
119 UNION ST, BENNINGTON, VT 05201-2406
(802) 442-6379
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1129
VT
1223G0001X
General Practice Dentistry
Primary
727
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002401
—
VT
05
—
1003050
—
VT
Enumeration date
10/12/2006
Last updated
08/22/2020
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