Provider Demographics
NPI:1831885664
Name:MCLEOD DENTAL STRATEGIES LLC
Entity type:Organization
Organization Name:MCLEOD DENTAL STRATEGIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:MCLEOD ALVARADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-636-7746
Mailing Address - Street 1:8298 OLD COURTHOUSE RD STE C
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3860
Mailing Address - Country:US
Mailing Address - Phone:703-442-4729
Mailing Address - Fax:
Practice Address - Street 1:8298 OLD COURTHOUSE RD STE C
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-3860
Practice Address - Country:US
Practice Address - Phone:703-442-4729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental