Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW MCLELLAN, DMD
ActiveDR. MATTHEW MCLELLAN, DMD is a Pediatric Dentistry healthcare provider located in ST AUGUSTINE, Florida. NPI 1568495919 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · ST AUGUSTINE, FL
Registration Details
- NPI Number
- 1568495919
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 9, 2006 (20.071149503247 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DN11125 (FL)
Practice Information
- Address
-
1100 S PONCE DE LEON BLVD STE 2ST AUGUSTINE, FL, 320846013Browse FL providers · Browse ZIP 32084
- Phone
- 9048296321
- Fax
- 9048292338
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in ST AUGUSTINE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. MARIA S FRASER | D.M.D. | 1245329093 |
| MARISOL BOLIVAR | DMD, MS | 1386991446 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.