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Dr. Matthew Mclellan, DMD
Pediatric Dentist in St Augustine, Florida
NPI 1568495919

Matthew Mclellan is a Pediatric Dentist based in St Augustine, FL and is specialized in Pediatric Dentistry. Matthew Mclellan practices in St Augustine, FL and has the professional credentials of DMD. The NPI Number for Matthew Mclellan is 1568495919 and holds a License No. DN11125 (Florida).

The current practice location address for Matthew Mclellan is 1100 S Ponce De Leon Blvd Ste 2, St Augustine, FL and can be reached out via phone at 904-829-6321 and via fax at 904-829-2338.

Location: 1100 S Ponce De Leon Blvd Ste 2, St Augustine, FL, 32084-6013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568495919
Provider Name
Matthew Mclellan
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1100 S Ponce De Leon Blvd Ste 2, St Augustine, FL, 32084-6013
Phone Number
904-829-6321
Fax Number
904-829-2338
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1100 S Ponce De Leon Blvd Ste 2
City
St Augustine
State
Florida
Zip
32084-6013
Phone Number
904-829-6321
Fax Number
904-829-2338
person
Provider Business Mailing Address Details
Address
1100 S Ponce De Leon Blvd Ste 2
City
St Augustine
State
Florida
Zip
32084-6013
Phone Number
904-829-6321
Fax Number
904-829-2338
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN11125 (Florida)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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