Dr. Michael Thomas McClure, DMD
Dentist in Orange Park, FL. Individual provider (NPI-1).
NPI number1790795086
StatusActive
Last updated in NPPESOct 3, 2016
Details
- NPI
- 1790795086
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Thomas McClure
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2006
- Last updated
- Oct 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN 15444 | FL | Yes |
Practice location
1409 Kingsley AveSuite 7a
Orange Park, FL 32073-4537
Phone 904-269-1419 · Fax 904-269-1307
Mailing address
1409 Kingsley AveSuite 7a
Orange Park, FL 32073-4537
Phone 904-269-1419 · Fax 904-269-1307
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