DR. JERROLD LEE MCCLUNG SR.
NPI 1013059609
Dentist - General Practice in Cordele, GA

Q: What is Jerrold Mcclung's NPI number?

The NPI number for Jerrold Mcclung is 1013059609. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Q: What is Jerrold Mcclung's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jerrold Mcclung was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 12, 2007

416 E 3RD AVE, CORDELE, GA 31015(229) 273-6235(229) 273-2188 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jerrold Lee Mcclung Sr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERROLD LEE MCCLUNG SR. (NPI 1013059609) is an individual general practice provider in Cordele, Georgia, licensed in Georgia (DN007347) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1013059609

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JERROLD LEE MCCLUNG SR.

Location Address416 E 3RD AVECordele, GA 31015-3605

Mailing Address416 E 3rd AveCordele, GA 31015-3605 · (229) 273-6235 · Fax (229) 273-2188

Phone(229) 273-6235

Fax(229) 273-2188

Sole ProprietorYes

Enumeration DateFebruary 12, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1013059609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · DN007347

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.

416 E 3RD AVE, Cordele, GA 31015

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TECH MEDICAL CENTER, LLC

Clinic/Center

416 E 3RD AVE
CORDELE, GA 31015

Crisp County (813) 724-3204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerrold Mcclung's NPI number?

The NPI number for Jerrold Mcclung is 1013059609. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Jerrold Mcclung located?

Jerrold Mcclung practices at 416 E 3rd Ave, Cordele, GA 31015. The listed phone number is (229) 273-6235.

What is Jerrold Mcclung's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jerrold Mcclung was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.