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MCLELLAN DENTAL INC.
NPI 1790920544
Dentist in St Augustine, FL

Active since December 09, 2008
1100 S PONCE DE LEON BLVD STE 2, ST AUGUSTINE, FL 32084(904) 829-6321(904) 829-2338 Get Directions Write a Review

NPPES record last updated: December 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mclellan Dental Inc. NPPES

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

MCLELLAN DENTAL INC. (NPI 1790920544) is a healthcare organization registered as a dentist in St Augustine, Florida and active in the NPI registry since December 2008. The organization lists Matthew Mclellan, Owner, as its authorized official.

NPPES Registry Identity

NPI1790920544
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMCLELLAN DENTAL INC.
Location Address1100 S PONCE DE LEON BLVD STE 2St Augustine, FL 32084-6013
Mailing Address1100 S Ponce De Leon Blvd Ste 2St Augustine, FL 32084-6013 · (904) 829-6321 · Fax (904) 829-2338
Phone(904) 829-6321
Fax(904) 829-2338
Organization SubpartNo
Authorized OfficialMatthew MclellanOwner · (904) 829-6321
Enumeration DateDecember 9, 2008
✔ NPI 1790920544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1100 S PONCE DE LEON BLVD STE 2, St Augustine, FL 32084
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. BARBARA AGNES MCLELLAN D.D.S.
Dentist (General Practice)
1100 S PONCE DE LEON BLVD STE 2
ST AUGUSTINE, FL 32084
St. Johns County (904) 829-6321
DR. MATTHEW MCLELLAN DMD
Dentist (Pediatric Dentistry)
1100 S PONCE DE LEON BLVD STE 2
ST AUGUSTINE, FL 32084
St. Johns County (904) 829-6321
SMILING KIDDS DENTISTRY, P.A.
Dentist (Pediatric Dentistry)
1100 S PONCE DE LEON BLVD STE 2
SAINT AUGUSTINE, FL 32084
St. Johns County (904) 829-6321

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 Mclellan Dental Inc.'s NPI number?

The NPI number for Mclellan Dental Inc. is 1790920544. It was assigned to this organization in the NPPES registry on December 9, 2008.

Where is Mclellan Dental Inc. located?

Mclellan Dental Inc. is located at 1100 S Ponce De Leon Blvd Ste 2, St Augustine, FL 32084. The listed phone number is (904) 829-6321.

What is Mclellan Dental Inc.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Mclellan Dental Inc. was last updated on December 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.