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Dr. Corine Nicole Mclellan, DDS
General Practice Dentistry in Blaine, Minnesota
NPI 1629137500

Corine Nicole Mclellan is a General Practice Dentistry based in Blaine, MN and is specialized in General Practice. Corine Nicole Mclellan practices in Blaine, MN and has the professional credentials of DDS. The NPI Number for Corine Nicole Mclellan is 1629137500 and holds a License No. D11538 (Minnesota).

The current practice location address for Corine Nicole Mclellan is 12904 Central Ave Ne, Blaine, MN and can be reached out via phone at 763-755-1330 and via fax at 763-755-4305.

Location: 12904 Central Ave Ne, Blaine, MN, 55449-4520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629137500
Provider Name
Corine Nicole Mclellan
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
12904 Central Ave Ne, Blaine, MN, 55449-4520
Phone Number
763-755-1330
Fax Number
763-755-4305
Provider Enumeration Date
12/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12904 Central Ave Ne
City
Blaine
State
Minnesota
Zip
55434-4147
Phone Number
763-755-1330
Fax Number
763-755-4305
person
Provider Business Mailing Address Details
Address
12904 Central Ave Ne
City
Blaine
State
Minnesota
Zip
55434-4147
Phone Number
763-755-1330
Fax Number
763-755-4305
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D11538 (Minnesota)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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