Individual provider · Type 1 NPI

Corine Nicole McLellan, DDS

General Practice Dentistry · Blaine, MN

NPI number 1629137500 Active

Practice location

12904 Central Ave NE
Blaine, MN 55434-4147

Fax (763) 755-4305

Mailing address

11716 Arnold Palmer Trl
Blaine, MN 55449-4520

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD11538 (MN)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1629137500

Corine Nicole McLellan, DDS's National Provider Identifier is 1629137500, issued on Dec 7, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Blaine, MN. The record was last updated on Jul 8, 2007.