NPI 1780830489 · live from the CMS NPI Registry
Dr. Mcclary & Assoc. Wake Forest, P.A.
Dentist, General Practice in Wake Forest, NC. National Provider Identifier 1780830489, active.
NPI record
| NPI | 1780830489 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 11480 Capital Blvd., Suite 115 Caveness Farms, Wake Forest, NC 27587 |
| Practice phone | 919-570-9898 |
| Mailing address | P.O. Box 860036, Minneapolis, MN 55486 |
| Enumerated | August 13, 2008 |
| Last updated | June 30, 2014 |
| Authorized official | Randall Mcclary, Dentist/Owner |
| Other names | Dentalworks |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
| Dentist | 122300000X | — |
| Dentist, Prosthodontics | 1223P0700X | — |
| Dentist, Endodontics | 1223E0200X | — |
| Dentist, Periodontics | 1223P0300X | — |
| Dentist, Pediatric Dentistry | 1223P0221X | — |
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.