Active NPI
Marcus F McDonald, DMD
- Prosthodontics
- Fort Eustis, VA
National Provider Identifier
1477529253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 3689
- Practice address
- 577 Sternberg Ave
HQ Usadentac Credentials Office
Fort Eustis, VA 23604-1526 - Phone
- (757) 314-7944
- Fax
- (757) 314-7942
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 3689 | AL | Primary |
Addresses
Primary practice location
577 Sternberg Ave
HQ Usadentac Credentials Office
Fort Eustis, VA 23604-1526
Mailing address
577 Sternberg Ave
HQ Usadentac Credentials Office
Fort Eustis, VA 23604-1526
Phone (757) 314-7944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3689 | AL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1477529253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "577 STERNBERG AVE",
"address_2": "HQ USADENTAC CREDENTIALS OFFICE",
"city": "FORT EUSTIS",
"state": "VA",
"postal_code": "236041526",
"telephone_number": "757-314-7944",
"fax_number": "757-314-7942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "577 STERNBERG AVE",
"address_2": "HQ USADENTAC CREDENTIALS OFFICE",
"city": "FORT EUSTIS",
"state": "VA",
"postal_code": "236041526",
"telephone_number": "757-314-7944",
"fax_number": "757-314-7942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "MARCUS",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "AL",
"license": "3689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Eustis, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.