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

Dr. Matthew McLellan, DMD

Individual provider Pediatric Dentistry · NPI 1568495919

Dr. Matthew McLellan, DMD is a Pediatric Dentistry in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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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

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN11125 (FL)

Record details

NPI number1568495919
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 9, 2006
Last updated in NPPESJuly 8, 2007

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