Organization
DR. MCCLARY & ASSOC. WAKE FOREST, P.A.
Active
Parent organization
DENTALONE PARTNERS, INC
Other names
DentalWorks
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTALONE PARTNERS, INC
Authorized official
DR. RANDALL MCCLARY D.D.S. (DENTIST/OWNER)
(800) 487-4867
Entity
Organization
Contact information
Practice address
11480 CAPITAL BLVD., SUITE 115 CAVENESS FARMS, WAKE FOREST, NC 27587-4554
(919) 570-9898
(216) 584-1120
Mailing address
P.O. BOX 860036, MINNEAPOLIS, MN 55486
(919) 570-9898
(216) 584-1120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
08/13/2008
Last updated
06/30/2014
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