Jerrold Lee McClung Sr.

General Practice Dentistry · Cordele, GA

Individual Active NPI

NPI number 1013059609

Practice location

416 E 3rd Ave
Cordele, GA 31015-3605
Phone
(229) 273-6235
Fax
(229) 273-2188

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NPI record

NPI
1013059609
Entity type
Individual (Type 1)
Enumeration date
February 12, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN007347 GA

About Jerrold McClung

Jerrold Lee McClung Sr. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 416 E 3rd Ave, Cordele, GA 31015-3605. The NPI number 1013059609 was assigned on February 12, 2007 and the record was last updated on July 8, 2007.

Jerrold McClung lists a license in the registry: #DN007347 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerrold Lee McClung Sr.?

The NPI number is 1013059609.

What is the phone number of Jerrold McClung?

The phone number listed for the practice location is (229) 273-6235.

Where is Jerrold McClung located?

416 E 3rd Ave, Cordele, GA 31015-3605.

What is the taxonomy code for Jerrold McClung?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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