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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LYLE GRANT MCCLELLAN, DDS

Active

LYLE GRANT MCCLELLAN, DDS is a Dentist healthcare provider located in SPOKANE, Washington. NPI 1609942473 is currently active in the NPPES registry. Verify at CMS.

Dentist · SPOKANE, WA

Registration Details

NPI Number
1609942473
Provider Type
Individual
Gender
Male
NPI Issued
Nov 25, 2006 (19.722632884613 yrs)
Last Updated
May 18, 2015
Licenses
D3068 (ID)
DE8382 (WA)
D9557 (OR)

Practice Information

Address
9717 N NEVADA ST
SPOKANE, WA, 992183412
Browse WA providers · Browse ZIP 99218
Phone
5094673315
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist
Additional Specialty
Dentist

Other Dentist Providers in SPOKANE, WA

Name Credential NPI
MICHAEL E. KONDO DDS 1487656518
CHRIS L CHAFFIN DDS 1013912864
KRISTA LEA CHASE D.D.S. 1174517171
RUSTY A REESE DDS 1982690780
DR. MICHELLE DIANE DULLANTY DDS 1720058746
BYRON THEODORE HILDAHL DDS 1811945348
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.