Robert McClurg, DDS a Professional Dental Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

25945 Issued in CA

Legal business name

ROBERT MCCLURG, DDS A PROFESSIONAL DENTAL CORPORATION

Doing business as

Dr. McClurg's Smile Center

Practice address

8689 Folsom Blvd
Sacramento, CA 95826-3708

Phone

(916) 381-7171

Fax

(916) 381-1171

NPI assigned

Nov 30, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Marissa McClurg

Title

Business Manager

Phone

(916) 381-7171

Specialties & licenses 1

Addresses

Other names 1

• Dr. McClurg's Smile Center Doing business as

Locations

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1902173206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8689 FOLSOM BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263708",
            "telephone_number": "916-381-7171",
            "fax_number": "916-381-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8689 FOLSOM BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263708",
            "telephone_number": "916-381-7171",
            "fax_number": "916-381-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT MCCLURG, DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "MCCLURG",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "916-381-7171",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "25945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. McClurg's Smile Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Dale Roberson
• Robert E. Gillis, Jr, DMD, MSD, a Professional Corporation
• Robert E. Sullivan, MD
• Robert F Shapiro MD Inc & Kenneth B Wiesner MD Inc PTR (Sacto Rheumatology Consultants)
• Robert L Muckey a Professional Corp (DenCare Dental Group)
• Lori Klett Roberto, PH.D.
• Rolando F. Roberto, MD
• Roberts Family Development Center
• Alexander Charles Roberts
• Brandi Nicole Roberts

• Orthodontics and Dentofacial Orthopedics Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.