Dr. Matthew Mclellan , DMD
Dentist - Pediatric Dentistry • St Augustine, FL
Professional Overview & Biography Verified Profile Summary
Dr. Matthew Mclellan, DMD is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in St Augustine, FL. Practice services are available at 1100 S PONCE DE LEON BLVD STE 2 under active NPI credentials.
Practice Location & Contact Primary Location
1100 S Ponce De Leon Blvd Ste 2
St Augustine, FL 320846013
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - Pediatric Dentistry in St Augustine, FL
Practicing in St Augustine, FL (688 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223P0221X
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - Pediatric Dentistry
Doctor of Dental Medicine
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 1100 S PONCE DE LEON BLVD STE 2, ST AUGUSTINE, FL 320846013 (Tel: 9048296321)
Registered at 1100 S PONCE DE LEON BLVD STE 2, ST AUGUSTINE, FL 320846013 (Tel: 9048296321)
Recorded as MATTHEW MCLELLAN, DMD
Dentist (License #DN11125 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1100 S Ponce De Leon Blvd Ste 2
St Augustine, FL 320846013
Phone: 9048296321
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.