Organization
DR. MCCLARY & ASSOC. WENDOVER, 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 LEE MCCLARY D.D.S. (DENTIST/OWNER)
(336) 294-5020
Entity
Organization
Contact information
Practice address
4215 W WENDOVER AVE, GREENSBORO, NC 27407-1921
(336) 294-5020
(216) 584-1122
Mailing address
P.O. BOX 860036, MINNEAPOLIS, MN 55486
(336) 294-5020
(216) 584-1122
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6541
NC
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
8135
NC
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
04/07/2010
Last updated
07/01/2014
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