Individual
EARL F MCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
685 SCENIC HWY, LAWRENCEVILLE, GA 30045-6362
(770) 995-4262
Mailing address
685 SCENIC HWY, LAWRENCEVILLE, GA 30045-6362
(770) 995-4262
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10963
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00450722C
—
GA
01
—
100447
AVESIS
GA
01
—
582201294
DELTA DENTAL
GA
01
—
6743
DORAL DENTAL SERVICES
GA
01
—
815505
TRICARE
GA
01
—
9752232
UNITED CONCORDIA
GA
Enumeration date
02/08/2007
Last updated
04/03/2009
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