Jesse Mcclung DDS Pllc

NPI #1487103172 in Bozeman, Montana

Provider Information

NPI Number: 1487103172
Entity Type: Organization
Organization Name: Jesse Mcclung DDS Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 23, 2016
Last Updated: Sep 23, 2016

Practice Location

Address: 108 N 11TH AVE STE #2
City: Bozeman
State: Montana
ZIP Code: 59715
Phone: (406) 586-5949

Authorized Official

Name: SHEILA C FEENSTRA
Title: OFFICE MANAGER
Phone: (406) 586-5949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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