Individual
DR. MARK T MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3246 12TH AVE RD, NAMPA, ID 83686-8404
(208) 467-9690
(208) 466-0412
Mailing address
3246 12TH AVE RD, NAMPA, ID 83686-8404
(208) 467-9690
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3958
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807650200
—
ID
Enumeration date
08/09/2007
Last updated
04/19/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us