Organization
TOMASETTI, MCLAIN AND PLEVNIA ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L. MCLAIN DDS (OWNER)
(303) 840-2300
Entity
Organization
Contact information
Practice address
7889 S LINCOLN CT, SUITE 201, LITTLETON, CO 80122-2651
(303) 798-4553
Mailing address
7889 S LINCOLN CT, SUITE 201, LITTLETON, CO 80122-2651
(303) 798-4553
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7590
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02005981
—
CO
05
—
82174831
—
CO
01
—
CB1815
MEDICARE PTAN BOYD TOMASETTI
CO
01
—
CO306646
MEDICARE PTAN
—
Enumeration date
04/22/2011
Last updated
10/18/2016
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