Provider Demographics
NPI:1760679146
Name:MCLORNAN, PAUL MICHAEL (DDS MS PLLC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:MICHAEL
Last Name:MCLORNAN
Suffix:
Gender:M
Credentials:DDS MS PLLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CLEAR CHOICE DENTAL IMPLANT CENTER
Mailing Address - Street 2:14100 SAN PEDRO, SUITE #110
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232
Mailing Address - Country:US
Mailing Address - Phone:210-495-4569
Mailing Address - Fax:210-495-5413
Practice Address - Street 1:CLEAR CHOICE DENTAL IMPLANT CENTER
Practice Address - Street 2:14100 SAN PEDRO, SUITE #110
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232
Practice Address - Country:US
Practice Address - Phone:210-495-4569
Practice Address - Fax:210-495-5413
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-28
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX234941223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics