Jeanie Larue Mcclanahan
Dental Assistant
115 Walnut St.
Ellington
, Missouri 63638
Jeanie Larue Mcclanahan
Dental Assistant
115 Walnut St.
Ellington
, Missouri 63638
(573) 924-2286
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Jeanie Larue Mcclanahan
- Hc1 Box 160b1
- Centerville, MO
- Zip : 63633
- Phone : (573) 924-2286
Second Address
- Jeanie Larue Mcclanahan
- 115 Walnut St.
- Ellington, MO
- Zip : 63638
- Fax : (573) 663-3188
- Phone : (573) 663-3177
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant |
National Provider Identifier
| NPI | 1376637728 |
|---|---|
| Provider Name | Jeanie Larue Mcclanahan |
| First Address | Centerville, MO 63633 |
| Second Address | Ellington, MO 63638 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.