Individual provider · Type 1 NPI
Mart McClellan, DDS, M.S.
Orthodontics and Dentofacial Orthopedics Dentistry · Kenilworth, IL
Practice location
450 Green Bay Rd
Kenilworth, IL 60043-1074
Mailing address
450 Green Bay Rd.
Kenilworth, IL 60043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 019023186 (IL) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
2 other providers at this address
Other orthodontics and dentofacial orthopedics dentistry providers in Kenilworth
About NPI 1609254390
Mart McClellan, DDS, M.S.'s National Provider Identifier is 1609254390, issued on May 13, 2015. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Kenilworth, IL. The record was last updated on May 13, 2015.