Provider Demographics
NPI:1043592314
Name:MCLEAN-HOLDEN, ANNE CAITLIN (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:CAITLIN
Last Name:MCLEAN-HOLDEN
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CLEMENTS UNIVERSITY HOSPITAL 6201 HARRY HINES BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-0001
Mailing Address - Country:US
Mailing Address - Phone:214-633-6357
Mailing Address - Fax:
Practice Address - Street 1:CLEMENTS UNIVERSITY HOSPITAL
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-4887
Practice Address - Country:US
Practice Address - Phone:214-633-6357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-13
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37139122300000X, 1223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMDD3602OtherNEW MEXICO LICENSING AND REGULATIONS