Provider Demographics
NPI:1649022054
Name:MCCLURKIN, CHARNE (DMD)
Entity type:Individual
Prefix:
First Name:CHARNE
Middle Name:
Last Name:MCCLURKIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 COLONIST PL
Mailing Address - Street 2:
Mailing Address - City:CAMERON
Mailing Address - State:NC
Mailing Address - Zip Code:28326-4022
Mailing Address - Country:US
Mailing Address - Phone:803-206-6042
Mailing Address - Fax:
Practice Address - Street 1:1300 SCOTLAND CROSSING DR
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-5400
Practice Address - Country:US
Practice Address - Phone:910-542-8183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC144001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice