# MCADOO DENTAL

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

## Provider details

- **NPI number:** 1417014770
- **Authorized official:** DR. GERALD MCADOO D.D.S. (OWNER)
- **Authorized official phone:** (313) 537-3800

## Contact information

- **Practice address:** 18424 W MCNICHOLS RD, DETROIT, MI 48219-4161
- **Practice address phone:** (313) 537-3800
- **Practice address fax:** (313) 537-2080
- **Mailing address:** 18424 W MCNICHOLS RD, DETROIT, MI 48219-4161
- **Mailing address phone:** (313) 537-3800
- **Mailing address fax:** (313) 537-2080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 08693 | MI | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4056710 | — | MI |