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Contact Information

KEITH M MCCLUNG, DDS
221B HWY 463 N
SUITE B
TRUMANN, AR72472
 Phone: 870-483-5011
 Fax: 870-483-7057
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for KEITH M MCCLUNG · (Male)

NPI # 1144372616
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/17/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AR License # 2355
  • Other 5751202 AETNA
  • AR Other 58746 BCBS
  • NJ Other 0410 DELTA DENTAL
  • PA Other 101964 UCCI
  • TN Other 3122554 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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