Ft McDonald DDS LTD
Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Pine Bluff, AR
NPI 1194866418 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1194866418
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 1983 (AR)
- Legal business name
- FT MCDONALD DDS LTD
- Practice address
- 3900 S Olive St
Pine Bluff, AR 71603-6745 - Phone
- (870) 536-6430
- NPI assigned
- Feb 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Fred McDonald
- Title
- President
- Phone
- (870) 536-6430
National Provider Directory
Locations
3900 S Olive St
Pine Bluff, AR 71603
Phone (870) 536-6430
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X | 1983 | AR | Yes |
Addresses
Primary practice location
3900 S Olive St
Pine Bluff, AR 71603-6745
Mailing address
3900 S Olive St
Pine Bluff, AR 71603-6745
Phone (879) 036-6430
Other providers in Pine Bluff, AR
- Allison Faye Francis
- Sade Anita Francois
- Philip Jay Mendez Frayre
- Shandra Freeman
- Jacquelyn Sue Frigon MD PA
- Dawn Fuller
- Tia Fulton
- Madeline Noel Fults
- Functional Testing Centers, Inc.
- Snigdha Gadireddy
All providers in Pine Bluff, AR · Orthodontics and Dentofacial Orthopedics Dentistry in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.