Provider Demographics
NPI:1508029901
Name:MCMASTER, JENNIFER CLYBURN (DMD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:CLYBURN
Last Name:MCMASTER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4171 MARLEY CT
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-7602
Mailing Address - Country:US
Mailing Address - Phone:803-427-2653
Mailing Address - Fax:
Practice Address - Street 1:4171 MARLEY CT
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-7602
Practice Address - Country:US
Practice Address - Phone:803-427-2653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4464122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist