McDonald-Win-E-Mac Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12117 Issued in MN

Legal business name

MCDONALD-WIN-E-MAC DENTAL

Practice address

105 2ND St SW
McIntosh, MN 56556

Phone

(218) 563-3001

Fax

(218) 563-3002

NPI assigned

Feb 7, 2008

Last updated

Feb 7, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Peter James McDonald, DDS

Title

Owner/Partner

Phone

(218) 563-3001

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1235317678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 2ND ST SW",
            "address_2": "PO BOX 265",
            "city": "MCINTOSH",
            "state": "MN",
            "postal_code": "56556",
            "telephone_number": "218-563-3001",
            "fax_number": "218-563-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 2ND ST SW",
            "city": "MCINTOSH",
            "state": "MN",
            "postal_code": "56556",
            "telephone_number": "218-563-3001",
            "fax_number": "218-563-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONALD-WIN-E-MAC DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "218-563-3001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in McIntosh, MN
• Providers in McIntosh, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.