| Organization Name: | MATTHEW J. MCCAIN DMD, LLC |
| NPI Number: | 1154720571 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MATTHEW JOHNSON MCCAIN (OWNER/DENSTIST) |
| Mailing Address: | 700 7th St S Suite 300 Clanton |
| State: | AL US |
| Postal Code: | 350453778 |
| Phone Number: | 2059600640 |
| Fax Number: | |
| NPI Enumeration Date: | 08/21/2014 |
| NPI Last Update Date: | 08/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 6027 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |