M.a. McDonald, D.D.S., Inc

Primary specialty

DentistTaxonomy code 122300000X

License

6967 Issued in IN

Legal business name

M.A. MCDONALD, D.D.S., INC

Practice address

1606 N Lebanon St
Lebanon, IN 46052-1514

Phone

(765) 482-6622

NPI assigned

Jun 21, 2005

Organization subpart

No

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

Authorized official

Name

Michael Allen McDonald, D.D.S

Title

Owner

Phone

(765) 482-6672

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629074174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521514",
            "telephone_number": "765-482-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521514",
            "telephone_number": "765-482-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.A. MCDONALD, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-482-6672",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "6967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Sue Loghmani, LCSW
• Christy M Loke, DO
• Grace E Long
• Natalie Lorch, RBT
• Jack Reyes Lowe, NP-C
• Jennie Maguire, NP
• Matthew Mainville
• Alexzandria Majors
• Amanda Marcum, MSW, LCSW
• Beth Mark, PT

• Dentist in Lebanon, IN
• Providers in Lebanon, IN by specialty
• Dentist in Indiana

• 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.