# MCDONALD FAMILY DENTISTRY PC

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

## Provider details

- **NPI number:** 1518091800
- **Authorized official:** DR. BRENT ALLEN MCDONALD DDS (PRESIDENT)
- **Authorized official phone:** (317) 336-7788

## Contact information

- **Practice address:** 5842 WEST BROADWAY, MCCORDSVILLE, IN 46055
- **Practice address phone:** (317) 336-7788
- **Practice address fax:** (317) 336-7277
- **Mailing address:** 5842 WEST BROADWAY, MCCORDSVILLE, IN 46055
- **Mailing address phone:** (317) 336-7788
- **Mailing address fax:** (317) 336-7277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12010363A | IN | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 08/17/2007