Julie Lynn McDonald, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6731717-9922 Issued in UT

Practice address

1014 W Gentile St
Layton, UT 84041-4645

Phone

(801) 698-4555

NPI assigned

Nov 5, 2005

Last updated

Mar 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Legacy Trail Family Dental

  • General Practice Dentistry
  • Layton, UT
  • NPI 1154049872
  NPD (past)

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

{
    "created_epoch": "1131148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1952382186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 W GENTILE ST",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414645",
            "telephone_number": "801-698-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 W GENTILE ST",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414645",
            "telephone_number": "801-698-4555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3891 Stadium Way",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844082310",
            "country_code": "US",
            "telephone_number": "801-626-6130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JULIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "6731717-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Patrick McCormick, DDS
• Shelly McCormick
• Dene McCracken
• Misty McDaniel
• Elizabeth Catherine McDermott
• Ryan P McDonald, MD
• Jadrian Seana McDonough
• Kyra McEvoy
• Andrew Rasmussen McFarland, DMD
• Ashley McGavin

• General Practice Dentistry in Layton, UT
• Providers in Layton, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.