Willaim D Macdonald, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3881 Issued in SC

Practice address

389 Johnnie Dodds Blvd
Suite B
Mt Pleasant, SC 29464-2950

Phone

(843) 884-7041

Fax

(843) 971-9299

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kids Teeth, LLC

  • Pediatric Dentistry
  • Mount Pleasant, SC
  • NPI 1053376491
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1245389808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 PROFESSIONAL LN",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667193",
            "telephone_number": "843-216-5879",
            "fax_number": "843-216-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 JOHNNIE DODDS BLVD",
            "address_2": "SUITE B",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294642950",
            "telephone_number": "843-884-7041",
            "fax_number": "843-971-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "WILLAIM",
        "middle_name": "D",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "3881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3881",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macalister Speech Therapy, LLC
• Ariel Macarran, LPC
• Joshua Nathan Macatol, M.D.
• Kristy Macbride
• Abigail Macdonald
• Allen Kent Maceachern, LMFT
• Kristen Machado, MA, LPC
• Mack Occupational Therapy, LLC
• Maria Mack, OTR/L
• Molly Lawton Mackenzie, LPC, NCC

• Pediatric Dentistry in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Pediatric Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.