| M.a. Mcdonald, D.d.s., Inc | |
|
1606 N Lebanon St Lebanon IN 46052-1514 | |
| (765) 482-6622 | |
| Not Available |
| Full Name | M.a. Mcdonald, D.d.s., Inc |
|---|---|
| Speciality | Dentist |
| Location | 1606 N Lebanon St, Lebanon, Indiana |
| Authorized Official Name and Position | Michael Allen Mcdonald (OWNER) |
| Authorized Official Contact | 7654826672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M.a. Mcdonald, D.d.s., Inc 1606 N Lebanon St Lebanon IN 46052-1514 Ph: (765) 482-6622 | M.a. Mcdonald, D.d.s., Inc 1606 N Lebanon St Lebanon IN 46052-1514 Ph: (765) 482-6622 |
| NPI Number | 1629074174 |
|---|---|
| Provider Enumeration Date | 06/21/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629074174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6967 (Indiana) | Primary |
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