Provider Demographics
NPI:1457415986
Name:MCCLARY, ROBERT HARRIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:HARRIS
Last Name:MCCLARY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417NW16TH ST 8
Mailing Address - Street 2:
Mailing Address - City:BELLE GLADE
Mailing Address - State:FL
Mailing Address - Zip Code:33430-2441
Mailing Address - Country:US
Mailing Address - Phone:561-996-3700
Mailing Address - Fax:
Practice Address - Street 1:250 PROFESSIONAL WAY
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414
Practice Address - Country:US
Practice Address - Phone:561-798-1600
Practice Address - Fax:561-798-1269
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN16189122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist