Individual
DR. MARK JAMES MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3340 PROVIDENCE DR, SUITE 560, ANCHORAGE, AK 99508-4616
(907) 562-6648
(907) 561-8385
Mailing address
3340 PROVIDENCE DR, SUITE 560, ANCHORAGE, AK 99508-4616
(907) 562-6648
(907) 561-8385
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AA0888
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
826322
UNITED CONCORDIA
AK
05
—
DD0888
—
AK
Enumeration date
01/11/2007
Last updated
07/08/2007
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