Provider Demographics
NPI:1326359225
Name:MCLIN, JOHN HENRY (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:HENRY
Last Name:MCLIN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9565 E 22ND ST
Mailing Address - Street 2:SUITE 143
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85748-7500
Mailing Address - Country:US
Mailing Address - Phone:520-885-5431
Mailing Address - Fax:
Practice Address - Street 1:9565 E 22ND ST
Practice Address - Street 2:SUITE 143
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85748-7500
Practice Address - Country:US
Practice Address - Phone:520-885-5431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0085761223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry