Mark W. McDonough, DMD, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DI18916 Issued in NJ

Legal business name

MARK W. MCDONOUGH, DMD, LLC

Practice address

245 S Main St
Pennington, NJ 08534-2837

Phone

(609) 730-1414

Fax

(609) 730-1456

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Mark McDonough, DMD

Title

Owner

Phone

(609) 730-1414

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396839155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 S MAIN ST",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342837",
            "telephone_number": "609-730-1414",
            "fax_number": "609-730-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S MAIN ST",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342837",
            "telephone_number": "609-730-1414",
            "fax_number": "609-730-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK W. MCDONOUGH, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-730-1414",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "DI18916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Mangone
• Radhika Manne, MD
• Joni Mantell, MSW, LCSW
• Anita Maraj, M.D.
• Geobel A Marin, M.D.
• Marie Antoinette Marquez, M.D.
• Kelly Martell, CRNP
• Cassandra Martin, PA
• Catarina Martins, LPC
• Shivaprasad Marulendra, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Pennington, NJ
• Providers in Pennington, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.