Mary Ellen McLean, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017144 Issued in MI

Practice address

1011 N University Ave
University of Michigan School of Dentistry
Ann Arbor, MI 48109-1012

Phone

(734) 764-3155

Fax

(734) 615-4784

NPI assigned

Nov 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932279775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N UNIVERSITY AVE",
            "address_2": "UNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481091012",
            "telephone_number": "734-764-3155",
            "fax_number": "734-615-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N UNIVERSITY AVE",
            "address_2": "UNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481091012",
            "telephone_number": "734-764-3155",
            "fax_number": "734-615-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI DENTAL",
            "identifier": "D171440",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie McLaughlin, MSW
• Sara Koenig McLaughlin, MD
• Vallerie Victoria McLaughlin, MD
• Madison McLaury, MD
• Julia Margaret McLean, NP
• Ryan Miles McLean, DDS
• Scott Alan McLean, M.D., PH.D.
• Stephen McLean, DC
• Jeanne Elizabeth McLelland, PA-C
• Rita Ann McLemore, MSN, NP

• General Practice Dentistry in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.