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NPI Code Detail

MEDICARE: MCLANE FAMILY DENTAL, PA

MEDICARE: MCLANE FAMILY DENTAL, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1942526058
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCLANE FAMILY DENTAL, PA
Provider Business Mailing Address
First Line : 5000 W SLAUGHTER LN
Second Line : STE 200
City : AUSTIN
State : TX
Zip : 78749-4015
Country : US
Telephone Number : 512-292-8002
Fax Number : 512-292-8550
Provider Business Practice Location Address
First Line : 5000 W SLAUGHTER LN
Second Line : STE 200
City : AUSTIN
State : TX
Zip : 78749-4015
Country : US
Telephone Number : 512-292-8002
Fax Number : 512-292-8550
Authorized Official
Title or Position : PRESIDENT
Name : DR. JAMES B MCLANE
Credential : D.D.S.
Telephone Number : 512-292-8002
Provider Enumeration Date : 04/14/2010
Last Update Date : 07/27/2011

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Directions to “MCLANE FAMILY DENTAL, PA ” Practice Location

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