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

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.

Title

President/Owner

Phone

(863) 494-6116

Specialties & licenses 1

Addresses

Locations

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": []
}

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• All providers in Arcadia, FL
• 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.