# IDEAL DENTAL MCDONOUGH PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043106099
- **Authorized official:** DR. MATTHEW DOAN DDS (OWNER)
- **Authorized official phone:** (972) 331-8067

## Contact information

- **Practice address:** 1060 CHEN PKWY STE C, MCDONOUGH, GA 30253-5270
- **Practice address phone:** (972) 361-0600
- **Mailing address:** PO BOX 840925, DALLAS, TX 75284-0925
- **Mailing address phone:** (972) 361-0600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2025
- **Last updated:** 06/16/2025