Individual
DR. ANDREW MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
131 2ND AVE S, ST PETERSBURG, FL 33701-4382
(727) 350-6222
Mailing address
131 2ND AVE S, ST PETERSBURG, FL 33701-4382
(727) 350-6222
(913) 381-6646
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2014021256
MO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DD4636
NM
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN27901
FL
Other
Enumeration date
08/13/2014
Last updated
01/30/2024
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