Shelley W. McDonald, DMD, PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SHELLEY W. MCDONALD, DMD, PA

Practice address

1922 23Rd Ave
Meridian, MS 39301-3107

Phone

(601) 482-8986

Fax

(601) 482-6100

NPI assigned

Jan 8, 2022

Last updated

Jan 8, 2022By 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. Shelley Wilkerson McDonald, DMDNPI 1760646509

Title

Pediatric Dentist

Phone

(601) 482-8986

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shelley Wilkerson McDonald, D.M.D.

  • Pediatric Dentistry
  • Meridian, MS
  • NPI 1760646509
  NPD Authorized official

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

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641600000000",
    "number": "1285395517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 23RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013107",
            "telephone_number": "601-482-8986",
            "fax_number": "601-482-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 23RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013107",
            "telephone_number": "601-482-8986",
            "fax_number": "601-482-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY W. MCDONALD, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-08",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "WILKERSON",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "601-482-8986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urooj Shahid, DO
• Shapiro Dimitri Medical, LLC
• Jayde Sharp, RN
• Christopher Robert Sharpe, PA-C
• Susan L. Shaw, LCSW
• Shine Pediatric Psychology Services PLLC
• Shirley Home Care, LLC (Home Instead Senior Care)
• Ben J Shirley, CRNA
• Chelsea Hope Shirley
• Harvey Miles Shirley, DMD

• Pediatric Dentistry in Meridian, MS
• Providers in Meridian, MS by specialty
• Pediatric Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2022; 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.