Holly Wilson Mcclendon in Mayfield - General Practice
Holly Wilson Mcclendon - NPI 1831275478
Holly Wilson Mcclendon is a General Practice in Mayfield, Kentucky. Holly Wilson Mcclendon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Holly Wilson Mcclendon is 1831275478. The last update date is 2007-07-08.
Holly Wilson Mcclendon's current location address is 107 E Walnut St, Mayfield, Kentucky. You can contact this provider via phone number 2702478250. The mailing address for Holly Wilson Mcclendon is 107 E Walnut St, Mayfield, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly Wilson Mcclendon |
|---|---|
| Address | 107 E Walnut St, Mayfield, Kentucky |
| Phone Number | 2702478250 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1831275478 |
|---|---|
| Provider Enumeration Date | 2006-10-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 107 E Walnut St |
|---|---|
| City | Mayfield |
| State | Kentucky (KY) |
| Post Code | 420662325 |
| Phone Number | 2702478250 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4611 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Holly Wilson Mcclendon by the Centers for Medicare & Medicaid Services?
The Holly Wilson Mcclendon has been issued the NPI (National Provider Identifier) 1831275478, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Holly Wilson Mcclendon?
The Holly Wilson Mcclendon is physically situated at 107 E Walnut St, in the city of Mayfield, state of KY, with the postal code 420662325.
What is Holly Wilson Mcclendon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Holly Wilson Mcclendon's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1831275478 to Holly Wilson Mcclendon?
The Centers for Medicare & Medicaid Services originally issued the 1831275478 to Holly Wilson Mcclendon on 2006-10-27.
As of what date were the details related to Holly Wilson Mcclendon most recently updated or revised?
The information pertaining to Holly Wilson Mcclendon, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.