Active NPI
Mark Lester McClendon, D.D.S.
- General Practice Dentistry
- Arcadia, FL
National Provider Identifier
1922094176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN0011846
- Practice address
- 1020 N Mills Ave
Arcadia, FL 34266-8811 - Phone
- (863) 494-6116
- Fax
- (863) 494-2660
- NPI assigned
- Sep 23, 2005
- 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 | DN0011846 | FL | Primary |
Addresses
Primary practice location
1020 N Mills Ave
Arcadia, FL 34266-8811
Mailing address
1020 N Mills Ave
Arcadia, FL 34266-8811
Phone (863) 494-6116
Other names 1
- Mark L McClendon
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN0011846 | FL | MD | General Practice Dentistry |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1922094176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 N MILLS AVE",
"city": "ARCADIA",
"state": "FL",
"postal_code": "342668811",
"telephone_number": "863-494-6116",
"fax_number": "863-494-2660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 N MILLS AVE",
"city": "ARCADIA",
"state": "FL",
"postal_code": "342668811",
"telephone_number": "863-494-6116",
"fax_number": "863-494-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLENDON",
"first_name": "MARK",
"middle_name": "LESTER",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN0011846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARK",
"last_name": "MCCLENDON",
"middle_name": "L",
"credential": "PA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Arcadia, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.