Mclendon, Earl F
Mclendon, Earl F is an sole proprietor health care provider with primary practice located at 685 Scenic Hwy , Lawrenceville GA 30045-6362. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mclendon, Earl F can be contacted via phone (770) 995-4262.Contact Information
Primary practice address
685 Scenic Hwy
Lawrenceville GA 30045-6362
Phone: (770) 995-4262
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 10963 | Georgia |
Profile Details
| NPI number | 1427198399 |
|---|---|
| LBN Legal business name | Mclendon, Earl F |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Apr 3rd, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427198399 | NPPES |
| Georgia | MEDICAID | 00450722C | |
| Georgia | Other | 9752232 | |
| Georgia | Other | 582201294 | |
| Georgia | Other | 6743 | |
| Georgia | Other | 815505 | |
| Georgia | Other | 100447 |
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