Provider Demographics
NPI:1326205758
Name:MCCLURE, JON WESLEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:WESLEY
Last Name:MCCLURE
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:14660 SH 121
Mailing Address - Street 2:BUILDING 300
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035
Mailing Address - Country:US
Mailing Address - Phone:972-549-4036
Mailing Address - Fax:972-905-6981
Practice Address - Street 1:14660 SH 121
Practice Address - Street 2:BUILDING 300
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035
Practice Address - Country:US
Practice Address - Phone:972-549-4036
Practice Address - Fax:972-905-6981
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-22
Last Update Date:2017-01-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX238791223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry