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General NPI Number Information
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NPI Number | 1225120330
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Entity Type | Organization
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Legal Business Name | JAMES M MCCLINCHEY DDS PC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 38215 WEST TEN MILE STE 3
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City | FARMINGTON HILLS
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State | MI
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Zip | 48335
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Country | US
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Telephone | 248-474-2280
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Fax | 248-474-5262
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Provider Business Mailing Address
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Address Line | 38215 WEST TEN MILE SUITE 3
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City | FARMINGTON HILLS
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State | MI
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Zip | 48335
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Country | US
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Telephone | 248-474-2280
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Fax | 248-474-5262
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | DR. JAMES MICHAEL MCCLINCHEY
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Credential | DDS
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Telephone | 248-474-2280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 11097
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License Number State | MI
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