Provider Demographics
NPI:1396941589
Name:MCCLAIN, ARNOLD T (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:T
Last Name:MCCLAIN
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5015 SOUTHPARK DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-7736
Mailing Address - Country:US
Mailing Address - Phone:919-484-8338
Mailing Address - Fax:919-484-8308
Practice Address - Street 1:5015 SOUTHPARK DR
Practice Address - Street 2:SUITE 130
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-7736
Practice Address - Country:US
Practice Address - Phone:919-484-8338
Practice Address - Fax:919-484-8308
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC69201223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics