Provider Demographics
NPI:1184769663
Name:MCCLAMMY, THOMAS V (DMD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:V
Last Name:MCCLAMMY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ63831223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics