Individual provider · Type 1 NPI

Jeanie Larue McClanahan

Dental Assistant · Ellington, MO

NPI number 1376637728 Active

Practice location

115 Walnut St.
Ellington, MO 63638

Fax (573) 663-3188

Mailing address

HC1 Box 160B1
Centerville, MO 63633

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000XNone listed

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

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About NPI 1376637728

Jeanie Larue McClanahan's National Provider Identifier is 1376637728, issued on Oct 2, 2006. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Ellington, MO. The record was last updated on Jul 8, 2007.