Individual
MATTHEW HENRY MCCLEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1157 S CRISMON RD STE 103, MESA, AZ 85208-2661
(520) 220-5266
(520) 357-9030
Mailing address
1157 S CRISMON RD STE 103, MESA, AZ 85208-2661
(520) 220-5266
(520) 357-9030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
APP-000364488
OH
122300000X
Dentist
Primary
D010919
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APP-000364488
THE OHIO STATE UNIVERSITY
OH
Enumeration date
06/16/2020
Last updated
07/09/2024
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