Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

McLellan Dental Inc

Organization Dentist · NPI 1790920544

McLellan Dental Inc is a Dentist in St Augustine, Florida. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1100 S Ponce De Leon Blvd Ste 2
St Augustine, FL 32084-6013
Phone: (904) 829-6321
Fax: (904) 829-2338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1790920544
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew McLellan — Owner · (904) 829-6321
NPI enumeratedDecember 9, 2008
Last updated in NPPESDecember 9, 2008
Mailing address1100 S Ponce De Leon Blvd Ste 2, St Augustine, FL 32084-6013

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