Michael A. McLennon, DDS, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

12652 Issued in NC

Practice address

6 N Pointe CT Ste 101
Greensboro, NC 27408-3235

Phone

(336) 275-6600

NPI assigned

Jun 15, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 8, 2024 through May 8, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mmclennon2848809@carolinashealthcaresystem.direct-ci.com

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.

• Christopher L. Durham DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Greensboro, NC
  • NPI 1952458325
  NPD (past)
• University of Frida

  • Dentist
  • Gainesville, FL
  • NPI 1629429204
  NPD (past)

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1881124469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 N POINTE CT STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274083235",
            "telephone_number": "336-275-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N POINTE CT STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274083235",
            "telephone_number": "336-275-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLENNON",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "12652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya McLean, LPC, NCC, MS
• Tyana Symone McLean, LCSWA
• Adam McLemore, RPH
• Jasmine McLendon
• Anne Kathryn Boehling McLennon, DDS
• Dacia Jordan McLeod, M.A. CCC-SLP
• David Noell McLeod, DDS
• Olga McLeod
• Douglas S McLeroy, PASTORAL COUNSELOR
• Kenneth Neil McMackin

• Oral & Maxillofacial Surgery (D.M.D.) in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.