McDoniell Dental Group LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MCDONIELL DENTAL GROUP LLC

Doing business as

Living Oaks Dental

Practice address

506 N Section St
Fairhope, AL 36532-2616

Phone

(251) 928-1645

NPI assigned

Sep 16, 2024

Last updated

Sep 16, 2024By 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. Jeremy Dylan McDoniell, DDSNPI 1386380764

Title

Owner

Phone

(251) 978-9598

Specialties & licenses 1

Addresses

Other names 1

• Living Oaks Dental Doing business as

Locations

Practitioners 2

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.

• Jeremy Dylan McDoniell, DDS

  • General Practice Dentistry
  • Fairhope, AL
  • NPI 1386380764
  NPD Authorized official
• Eugene Willis Brabston Jr., D.M.D.

  • General Practice Dentistry
  • Fairhope, AL
  • NPI 1487762977
  NPD (past)

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1356178206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 N SECTION ST",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322616",
            "telephone_number": "251-928-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 N SECTION ST",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322616",
            "telephone_number": "251-928-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONIELL DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "MCDONIELL",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "DYLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-978-9598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Oaks Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean R McBrearty, M.D.
• Wendy C McCants, LMT
• Angela R McCool-Pearson, M.D.
• Thomas Harvey McCulloch, MD
• Tara Waters McDonald, CRNP
• Jeremy Dylan McDoniell, DDS
• Christa D McDowell, COTA/L
• John Charles McDuff, M.D.
• Casey Andrew McIntosh, M.D.
• Justine Harris McKee, DO

• Dental Clinic/Center in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.