Individual
DR. RICHARD EUGENE MCCLUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
200 E RANDOLPH ST, LEWISBURG, WV 24901-1130
(304) 645-2088
(304) 645-2155
Mailing address
200 E RANDOLPH ST, LEWISBURG, WV 24901-1130
(304) 645-2088
(304) 645-2155
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2125/65
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135641000
—
WV
Enumeration date
07/14/2006
Last updated
07/08/2007
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