Provider Demographics
NPI:1447983481
Name:MAIZY AND MCLAREN
Entity type:Organization
Organization Name:MAIZY AND MCLAREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DUNCAN
Authorized Official - Last Name:MCLAREN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:734-645-6548
Mailing Address - Street 1:3123 OVERRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-4152
Mailing Address - Country:US
Mailing Address - Phone:734-645-6548
Mailing Address - Fax:734-514-4584
Practice Address - Street 1:2350 WASHTENAW AVE STE 1
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-4526
Practice Address - Country:US
Practice Address - Phone:734-761-4520
Practice Address - Fax:734-514-4584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental