Provider Demographics
NPI:1619063716
Name:MCCLELLAND, JOCELYN A (DDS,LLC)
Entity Type:Individual
Prefix:DR
First Name:JOCELYN
Middle Name:A
Last Name:MCCLELLAND
Suffix:
Gender:F
Credentials:DDS,LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 1ST ST N
Mailing Address - Street 2:PO BOX 608
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8757
Mailing Address - Country:US
Mailing Address - Phone:205-663-3612
Mailing Address - Fax:205-663-6446
Practice Address - Street 1:129 1ST ST N
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8757
Practice Address - Country:US
Practice Address - Phone:205-663-3612
Practice Address - Fax:205-663-6446
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL42441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice