OrganizationActive
Mclellan Dental Inc.
NPI 1790920544 · Dentist · St Augustine, FL
Mclellan Dental Inc. is a Dentist organization in St Augustine, FL (NPI 1790920544).
Provider details
- NPI number
- 1790920544
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Matthew Mclellan, Owner(904) 829-6321
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1100 S Ponce De Leon Blvd Ste 2
St Augustine, FL 32084-6013
Phone: (904) 829-6321
Fax: (904) 829-2338
Street-level locationGet directions
Mailing address
1100 S Ponce De Leon Blvd Ste 2
St Augustine, FL 32084-6013
Registry dates
- Enumerated
- 2008-12-09
- Last updated
- 2008-12-09
Frequently asked questions
- What is Mclellan Dental Inc.'s NPI number?
- Mclellan Dental Inc.'s National Provider Identifier (NPI) is 1790920544, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mclellan Dental Inc.?
- Mclellan Dental Inc. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Mclellan Dental Inc. located?
- Mclellan Dental Inc.'s practice location on file with NPPES is 1100 S Ponce De Leon Blvd Ste 2, St Augustine, FL 32084-6013.
- What is Mclellan Dental Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Mclellan Dental Inc. is (904) 829-6321.
- Who is the authorized official for Mclellan Dental Inc.?
- The authorized official listed on Mclellan Dental Inc.'s NPPES record is Matthew Mclellan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mclellan Dental Inc.'s NPI active?
- Yes — Mclellan Dental Inc.'s NPI (1790920544) is active in the NPPES registry as of the last update on 2008-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.