# ROBERT A MCDONALD SR DDB PC

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

## Provider details

- **NPI number:** 1629180138
- **Authorized official:** DR. ROBERT ANGUS MCDONALD SR. DDS (OWNER OF PC)
- **Authorized official phone:** (703) 751-5222

## Contact information

- **Practice address:** 50 SOUTH PICKETT ST, SUITE 104, ALEXANDRIA, VA 22304
- **Practice address phone:** (703) 751-5222
- **Practice address fax:** (703) 751-5210
- **Mailing address:** 50 SOUTH PICKETT ST, SUITE 104, ALEXANDRIA, VA 22304
- **Mailing address phone:** (703) 751-5222
- **Mailing address fax:** (703) 751-5210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0401002256 | VA | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020