Organization
SCOTT R MCCLURE DDS MS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT RYAN MCCLURE D.D.S., M.S. (PRESIDENT)
(919) 786-4470
Entity
Organization
Contact information
Practice address
4601 LAKE BOONE TRL, SUITE 1A, RALEIGH, NC 27607-7503
(919) 786-4470
(919) 786-4471
Mailing address
4601 LAKE BOONE TRL, SUITE 1A, RALEIGH, NC 27607-7503
(919) 786-4470
(919) 786-4471
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8662
NC
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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