Active NPI
McLean Dental Group
- General Practice Dentistry
- South Burlington, VT
National Provider Identifier
1013286376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 016.0002101
- Legal business name
- MCLEAN DENTAL GROUP
- Practice address
- 1683 Williston Rd
Suite 1
South Burlington, VT 05403-6426 - Phone
- (802) 864-9111
- NPI assigned
- Dec 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David E McLean, DDS
- Title
- Owner/ President
- Phone
- (802) 864-9111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 016.0002101 | VT | Primary |
Addresses
Primary practice location
1683 Williston Rd
Suite 1
South Burlington, VT 05403-6426
Mailing address
1683 Williston Rd
Suite 1
South Burlington, VT 05403-6426
Phone (802) 864-9111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007358 | Medicaid | VT |
National Provider Directory
National Provider DirectoryLocations
1683 Williston Rd
#1
South Burlington, VT 05403
Phone (802) 864-9111
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- South Burlington, VT
- NPI 1588685259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323907200000",
"number": "1013286376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1683 WILLISTON RD",
"address_2": "SUITE 1",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054036426",
"telephone_number": "802-864-9111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1683 WILLISTON RD",
"address_2": "SUITE 1",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054036426",
"telephone_number": "802-864-9111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCLEAN DENTAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-15",
"last_updated": "2011-12-15",
"status": "A",
"authorized_official_last_name": "MCLEAN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER/ PRESIDENT",
"authorized_official_telephone_number": "802-864-9111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "VT",
"license": "016.0002101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007358",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.