SCOTT R MCCLURE DDS MS PA (NPI# 1710137559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710137559 |
Entity Type | Organization |
Organization Name | SCOTT R MCCLURE DDS MS PA |
Practice Address |
4601 Lake Boone Trl Suite 1a Raleigh NC 27607-7503 |
Practice Telephone | 9197864470 |
Practice Fax Number | 9197864471 |
Mailing Telephone | 9197864470 |
Mailing Fax Number | 9197864471 |
Enumeration Date | 2008-09-29 |
Last Update Date | 2008-09-29 |
Authorized Official Name | DR. SCOTT RYAN MCCLURE (PRESIDENT) |
Authorized Official Telephone | 9197864470 |
Authorized Official Credential | D.D.S., M.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
8662 | NC | Dental Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
North Carolina Corporations | Scott R McClure DDS MS PA | 1414 Raleigh Road Suite 320, Chapel Hill, NC 27517 |
Street Address |
4601 LAKE BOONE TRL SUITE 1A |
City | RALEIGH |
State | NC |
Zip Code | 27607-7503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992784946 | Rosilene Ziegler | Psychologist | 4601 Lake Boone Trl, Garden Suite, Raleigh, NC 27607-7503 | 2006-01-10 |
1619320918 | Samuel Scott Bass | Marriage & Family Therapist | 4601 Lake Boone Trl, Suite 3b, Raleigh, NC 27607-7503 | 2016-07-21 |
1982948469 | James G Robinson | Nurse Practitioner | 4601 Lake Boone Trl, Raleigh, NC 27607-7503 | 2012-11-21 |
1174814966 | Hd Treatment Center of Raleigh Pa | Internal Medicine | 4601 Lake Boone Trl, Suite 1d, Raleigh, NC 27607-7503 | 2011-04-27 |
1629370762 | Keller Management, LLC | Clinic/Center | 4601 Lake Boone Trl, Suite 2e, Raleigh, NC 27607-7503 | 2010-11-22 |
1467663682 | Patricia Lane Edgerton | Counselor | 4601 Lake Boone Trl, Suite 3a, Raleigh, NC 27607-7503 | 2007-05-28 |
1013135896 | Maria Lemmons Wood | Counselor | 4601 Lake Boone Trl, Suite 1b, Raleigh, NC 27607-7503 | 2007-04-24 |
1437375052 | Jennifer Heer Ennis | Counselor | 4601 Lake Boone Trl, Suite 1b, Raleigh, NC 27607-7503 | 2007-04-18 |
1326197344 | Robert Kratz | Emergency Medicine | 4601 Lake Boone Trl, Suite 1d, Raleigh, NC 27607-7503 | 2007-01-09 |
1750307286 | Susan E Birchfield | Psychologist | 4601 Lake Boone Trl, Suite G, Raleigh, NC 27607-7503 | 2006-07-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
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Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669037834 | Drs Shrager and Reimels Pllc | Dentist | 8331 Bandford Way Ste 105, Raleigh, NC 27615-2765 | 2019-05-03 |
1720362767 | Han B Lee | Dentist | 9201 Leesville Rd Ste 160, Raleigh, NC 27613-7540 | 2011-10-10 |
1508182312 | Amardeep Khara, Dmd, Pa | Dentist | 1830 Garner Station Boulevard, Raleigh, NC 27603-3643 | 2010-04-19 |
1558684985 | Rondell L. Blakey, D.d.s., P.a. | Dentist | 2621 Garden Hill Dr Apt 108, Raleigh, NC 27614-6522 | 2010-03-12 |
1043448780 | John H Foley | Dentist | 6440 Giddings St, Raleigh, NC 27616-6685 | 2009-07-01 |
1326280207 | Joseph John Devlin | Dentist | 7016 Harps Mill Road, Raleigh, NC 27615 | 2009-03-24 |
1013185065 | James Buckthal | Dentist | 106 Lake Boone Trl, Raleigh, NC 27608-1020 | 2008-02-12 |
1851412803 | Gina J Lee | Dentist | 10411 Moncreiffe Rd, Suite 105a, Raleigh, NC 27617-7819 | 2007-04-03 |
1447370614 | Engstrom & Cheek, Dds, Ms, Pllc | Dentist | 7200 Falls of Neuse Rd, Suite 201, Raleigh, NC 27615-5384 | 2007-03-30 |
1659495364 | Nelson Orthodontics | Dentist | 5964 Six Forks Rd # B, Raleigh, NC 27609-3895 | 2007-03-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.