Individual
SHIRLEY LEUNG MCCLESKEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2239 S CARAWAY RD, SUITE S, JONESBORO, AR 72401-6204
(870) 935-0242
(870) 935-4058
Mailing address
2239 S CARAWAY RD, SUITE S, JONESBORO, AR 72401-6204
(870) 935-0242
(870) 935-4058
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2785
AR
1223G0001X
General Practice Dentistry
DS0000004876
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117466
UNITED CONCORDIA COMPANY
AR
01
—
59278
AR BLUECROSS BLUESHIELD
AR
Enumeration date
05/31/2006
Last updated
07/09/2007
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