Barbara Agnes McLellan, D.D.S.

General Practice Dentistry · St Augustine, FL

Individual Active NPI

NPI number 1356434682

Practice location

1100 S Ponce De Leon Blvd Ste 2
St Augustine, FL 32084-6013
Phone
(904) 829-6321
Fax
(904) 829-2338

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NPI record

NPI
1356434682
Entity type
Individual (Type 1)
Enumeration date
September 30, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN 13672 FL

About Dr. McLellan

Barbara Agnes McLellan, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1100 S Ponce De Leon Blvd Ste 2, St Augustine, FL 32084-6013. The NPI number 1356434682 was assigned on September 30, 2006 and the record was last updated on July 8, 2007.

Dr. McLellan lists a license in the registry: #DN 13672 (FL) 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 Barbara Agnes McLellan, D.D.S.?

The NPI number is 1356434682.

What is the phone number of Dr. McLellan?

The phone number listed for the practice location is (904) 829-6321.

Where is Dr. McLellan located?

1100 S Ponce De Leon Blvd Ste 2, St Augustine, FL 32084-6013.

What is the taxonomy code for Dr. McLellan?

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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