Park Mcclung, D.D.S
NPI 1144393646 · on the registry since 2006
Practice
- Address
- 1325 Birch Ave
Cottage Grove, OR 97424 - Phone
- (541) 942-2471
- Fax
- (541) 942-9318
- Organisation at this address
- Birch Avenue Dental, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon