Healthcare Provider Details

I. General information

NPI: 1861473332
Provider Name (Legal Business Name): DALE MCLEAN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2595 CHIMNEY ROCK RD
HENDERSONVILLE NC
28792-9181
US

IV. Provider business mailing address

4755 NC HWY 9 SOUTH
TRYON NC
28782
US

V. Phone/Fax

Practice location:
  • Phone: 828-692-4289
  • Fax: 828-692-4396
Mailing address:
  • Phone: 828-692-4289
  • Fax: 828-692-4396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number7721
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number7721
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number7721
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number7721
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: