Leanne L McDonald, D.M.D.
Individual provider Active NPI General Practice Dentistry · Butler, AL
NPI 1215032073 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1215032073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4801 (AL)
- Practice address
- 325 E Pushmataha St
Butler, AL 36904-2533 - Phone
- (205) 459-5535
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4801 | AL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leanne L. McDonald, D.M.D, P.C. | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4801 | AL | Yes |
Addresses
Primary practice location
325 E Pushmataha St
Butler, AL 36904-2533
Mailing address
325 E Pushmataha St
Butler, AL 36904-2533
Phone (205) 459-5535
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 671736 | Other | AL | UNITED CONDORDIA PROVIDER |
| 34063 | Other | AL | BC/BS AL PROVIDER # |
Other providers in Butler, AL
- Brenda L Kennedy
- Laboratory Corporation of America Holdings
- Leanne L. McDonald, D.M.D, P.C.
- Louis K Guinn MD
- Gregory Keith Manley
- Willard Evan McDonald
- Mobile Picc Specialists
- Joseph M Moody
- William Britt Morris
- Mr Discount Drugs of Butler
All providers in Butler, AL · General Practice Dentistry in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.