Organization Active NPI

G. D. McClendon DMD PLLC

  • General Practice Dentistry
  • Lynden, WA
National Provider Identifier
1659097574
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
G. D. MCCLENDON DMD PLLC
Doing business as
Lynden Family Dental
Practice address
104 6TH St
Lynden, WA 98264-1959
Phone
(801) 885-3207
NPI assigned
Oct 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Authorized official

Name
Grant McClendon, DMDNPI 1548641707
Title
Owner
Phone
(801) 885-3207

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

104 6TH St
Lynden, WA 98264-1959

Mailing address

104 6TH St
Lynden, WA 98264-1959
Phone (801) 885-3207

Other names 1

  • Lynden Family Dental Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drgrant@lyndenfamilydental.com Direct

National Provider Directory

National Provider Directory

Locations

104 6th St
Lynden, WA 98264
Phone (360) 354-0206

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1659097574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 6TH ST",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641959",
            "telephone_number": "801-885-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 6TH ST",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641959",
            "telephone_number": "801-885-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. D. MCCLENDON DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "MCCLENDON",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-885-3207",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drgrant@lyndenfamilydental.com",
            "affiliation": "N",
            "endpointDescription": "Secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "104 6th St",
            "city": "Lynden",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982641959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lynden Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynden, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.