A. Gavin McClure, D.D.S., Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

38446 Issued in CA

Legal business name

A. GAVIN MCCLURE, D.D.S., INC.

Practice address

304 Lincoln St
Santa Cruz, CA 95060-4333

Phone

(831) 426-1343

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Austin Gavin McClure, D.D.S.NPI 1184738114

Title

President

Phone

(831) 426-1343

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Austin Gavin McClure, D.D.S.

  • General Practice Dentistry
  • Santa Cruz, CA
  • NPI 1184738114
  NPD Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598879538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 LINCOLN ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 LINCOLN ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604333",
            "telephone_number": "831-426-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. GAVIN MCCLURE, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "GAVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-426-1343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "38446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geraldine Bautista Abalos, RN
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• Zahra Abbas
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• Dental Clinic/Center in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Dental Clinic/Center in California

• 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.