| Mark W. Mcdonough, Dmd, Llc | |
|
245 S Main St Pennington NJ 08534-2837 | |
| (609) 730-1414 | |
| (609) 730-1456 |
| Full Name | Mark W. Mcdonough, Dmd, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 245 S Main St, Pennington, New Jersey |
| Authorized Official Name and Position | Mark Mcdonough (OWNER) |
| Authorized Official Contact | 6097301414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark W. Mcdonough, Dmd, Llc 245 S Main St Pennington NJ 08534-2837 Ph: (609) 730-1414 | Mark W. Mcdonough, Dmd, Llc 245 S Main St Pennington NJ 08534-2837 Ph: (609) 730-1414 |
| NPI Number | 1396839155 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396839155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DI18916 (New Jersey) | Primary |
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