Jeffrey Richard Mcclain
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
8893 E Market St
Warren
, Ohio 44484-2351
Jeffrey Richard Mcclain
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
8893 E Market St
Warren
, Ohio 44484-2351
(330) 856-7950
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Jeffrey Richard Mcclain
- 8893 E Market St
- Warren, OH
- Zip : 44484-2351
- Phone : (330) 856-7950
Second Address
- Jeffrey Richard Mcclain
- 8893 E Market St
- Warren, OH
- Zip : 44484-2351
- Phone : (330) 856-7950
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 19684 | OH |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 75926 | OH |
National Provider Identifier
| NPI | 1124089545 |
|---|---|
| Provider Name | Jeffrey Richard Mcclain |
| First Address | Warren, OH 44484-2351 |
| Second Address | Warren, OH 44484-2351 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2006 |
| Last Update Date | 05/11/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2114063 | (05) | OH |
| G93612 | (02) | OH |
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.