Search › Illinois › 1223G0001X
Brent Mcclenny, DMD
NPI 1477548014 · on the registry since 2005
Practice
- Address
- 310 W Losey St
Scott Air Force Base, IL 62225 - Phone
- (618) 256-3322
- Organisation at this address
- St. Louis Jc Vamc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 37
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-07-14
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 Illinois