Provider Demographics
NPI:1710184684
Name:THOMAS V. MCCLAMMY, D.M.D., PC
Entity Type:Organization
Organization Name:THOMAS V. MCCLAMMY, D.M.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLAMMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-731-3636
Mailing Address - Street 1:8765 E BELL RD STE 213
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1321
Mailing Address - Country:US
Mailing Address - Phone:480-731-3636
Mailing Address - Fax:480-731-3637
Practice Address - Street 1:8765 E BELL RD STE 213
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1321
Practice Address - Country:US
Practice Address - Phone:480-731-3636
Practice Address - Fax:480-731-3637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ63831223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty