Park W Mcclung is a Dentist in Cottage Grove, Oregon. Park W Mcclung practices all healthcare services and medical treatments related to Dentist. The NPI Number for Park W Mcclung is 1144393646. The last update date is 2007-07-08.
Park W Mcclung's current location address is 1325 Birch Ave, Cottage Grove, Oregon. You can contact this provider via phone number 5419422471 and fax number 5419429318. The mailing address for Park W Mcclung is 1325 Birch Ave, Cottage Grove, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Park W Mcclung |
|---|---|
| Address | 1325 Birch Ave, Cottage Grove, Oregon |
| Phone Number | 5419422471 |
| Fax Number | 5419429318 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1144393646 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1325 Birch Ave |
|---|---|
| City | Cottage Grove |
| State | Oregon (OR) |
| Post Code | 974241416 |
| Phone Number | 5419422471 |
| Fax Number | 5419429318 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D6947 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code issued to Park W Mcclung by the Centers for Medicare & Medicaid Services?
The Park W Mcclung has been assigned the NPI (National Provider Identifier) 1144393646 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Park W Mcclung's facilities are geographically located?
The facilities of Park W Mcclung are physically situated at the following location: 1325 Birch Ave, Cottage Grove, OR, 974241416.
What is Park W Mcclung's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Park W Mcclung is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1144393646 to Park W Mcclung?
The Park W Mcclung received its 1144393646 assignment from the Centers for Medicare & Medicaid Services on 2006-11-15.
As of what date were the Park W Mcclung's details last updated?
The information pertaining to the Park W Mcclung, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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