# M.A. MCDONALD, D.D.S., INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1629074174
- **Authorized official:** MICHAEL ALLEN MCDONALD D.D.S (OWNER)
- **Authorized official phone:** (765) 482-6672

## Contact information

- **Practice address:** 1606 N LEBANON ST, LEBANON, IN 46052-1514
- **Practice address phone:** (765) 482-6622
- **Mailing address:** 1606 N LEBANON ST, LEBANON, IN 46052-1514
- **Mailing address phone:** (765) 482-6622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6967 | IN | Yes |

## Other

- **Enumeration date:** 06/21/2005
- **Last updated:** 08/22/2020