Active NPI
David Edward McLean, DDS
- General Practice Dentistry
- South Burlington, VT
National Provider Identifier
1588685259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0016-000-2101
- Practice address
- 1683 Williston Rd
Suite 1
South Burlington, VT 05403-6426 - Phone
- (802) 864-9111
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0016-000-2101 | 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 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0016-000-2101 | VT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLean Dental Group | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- South Burlington, VT
- NPI 1013286376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323907200000",
"number": "1588685259",
"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": {
"last_name": "MCLEAN",
"first_name": "DAVID",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2011-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VT",
"license": "0016-000-2101",
"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.