Michael T. McDonald, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1549-73 Issued in MS

Practice address

400 2ND Ave N
Amory, MS 38821-3513

Phone

(662) 256-5601

Fax

(662) 256-5602

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• M. T. McDonald Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629168802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 PECAN ORCHARD LANE",
            "address_2": "P. O. BOX 421",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388210421",
            "telephone_number": "662-256-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 2ND AVE N",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388213513",
            "telephone_number": "662-256-5601",
            "fax_number": "662-256-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MICHAEL",
        "middle_name": "T.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "1549-73",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M.",
            "last_name": "MCDONALD",
            "middle_name": "T.",
            "credential": "D.D.S.,P.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shelby Maxcy, PHARM D.
• Emily B McCafferty, PT
• Madison McCollum
• William Dwight McComb, MD
• Andrew Harrell McDonald, O.D.
• Kamryn Breyan McIntosh, FNP-C
• John R McPherson, MD
• Medicomp, Inc
• Medihealth Medical Solutions LLC
• Medlinx, LLC

• All providers in Amory, MS
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.