Mark L. McClendon, PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN0011846 Issued in FL

Legal business name

MARK L. MCCLENDON, PA

Practice address

1020 N Mills Ave
Arcadia, FL 34266-8811

Phone

(863) 494-6116

Fax

(863) 494-2660

NPI assigned

Oct 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark Lester McClendon, D.D.S.NPI 1922094176

Title

President/Owner

Phone

(863) 494-6116

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Lester McClendon, D.D.S.

  • General Practice Dentistry
  • Arcadia, FL
  • NPI 1922094176
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245320449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N MILLS AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668811",
            "telephone_number": "863-494-6116",
            "fax_number": "863-494-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N MILLS AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668811",
            "telephone_number": "863-494-6116",
            "fax_number": "863-494-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK L. MCCLENDON, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCLENDON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LESTER",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "863-494-6116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0011846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikael Mailloux-Kessler, MD
• Alyssa Herminia Maldonado
• Myshanda Maldonado
• Manatee Diagnostic Center, LTD
• Manatee Memorial Hospital LP (Manatee Diagnostic Center Arcadia)
• Angela Martinez Zea, MS, RDN, LDN
• Tamara Martinez-Morales, PH.D.
• Lesyani Martinez, MT
• Karla A Mason, LCSW
• Jeremy Heath McClellan, PHARM. D.

• Dentist in Arcadia, FL
• Providers in Arcadia, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.