NPI 1821313446 · live from the CMS NPI Registry
Dr. Mcclary & Assoc. Wendover, P.A.
Dentist, General Practice in Greensboro, NC. National Provider Identifier 1821313446, active.
NPI record
| NPI | 1821313446 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 4215 W Wendover Ave, Greensboro, NC 27407 |
| Practice phone | 336-294-5020 |
| Mailing address | P.O. Box 860036, Minneapolis, MN 55486 |
| Enumerated | April 7, 2010 |
| Last updated | July 1, 2014 |
| Authorized official | Randall Mcclary, Dentist/Owner |
| Other names | Dentalworks |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice | 1223G0001X | — |
| Dentist | 122300000X | 6541 (NC) |
| 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 | 8135 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.