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BRYAN W. MCLELLAND D.D.S. P.S. NPI 1619424611


NPI Information

NPI: 1619424611
Provider Name: BRYAN W. MCLELLAND, D.D.S., P.S.

Other Name: LIBERTY ORAL & FACIAL SURGERY

Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
602 N CALGARY CT
SUITE 202
POST FALLS, ID
ZIP 83854
Phone: (208) 262-2660
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BRYAN W. MCLELLAND, D.D.S., P.S. is an oral and maxillofacial surgery clinic center in Post Falls, ID. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. BRYAN W. MCLELLAND, D.D.S., P.S. NPI is 1619424611. The provider is registered as an organization entity type.
The provider Other Name Is Liberty Oral & Facial Surgery.

The provider's business location address is:

602 N CALGARY CT
SUITE 202
POST FALLS, ID
ZIP 83854-000
Phone: (208) 262-2660
Fax: (509) 344-1113

The provider's authorized official is Bryan Mclelland .
The authorized official title is Owner / Oral Surgeon and has the following contact phone number (509) 939-7684.

The enumeration date for this NPI number is 9/7/2016 and was last updated on 9/7/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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