Provider Demographics
NPI:1780867192
Name:R. A. MCLENDON, DDS PLLC
Entity Type:Organization
Organization Name:R. A. MCLENDON, DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLENDON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-587-4900
Mailing Address - Street 1:112 BAMMEL WESTFIELD RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-3527
Mailing Address - Country:US
Mailing Address - Phone:281-587-4900
Mailing Address - Fax:281-440-4285
Practice Address - Street 1:112 BAMMEL WESTFIELD RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3527
Practice Address - Country:US
Practice Address - Phone:281-587-4900
Practice Address - Fax:281-440-4285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX129981223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty