Individual
DR. MARK NEWTON MCDONALD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
BLDG 2441 21ST STREET, USA DENTAC, FORT CAMPBELL, KY 42223-5369
(270) 798-8614
(270) 798-8633
Mailing address
BLDG 2441 21ST STREET, USA DENTAC, FORT CAMPBELL, KY 42223-5369
(270) 798-8614
(270) 798-8633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17588
TX
122300000X
Dentist
DE014689
MO
1223G0001X
General Practice Dentistry
17588
TX
1223G0001X
General Practice Dentistry
DE014689
MO
Other
Enumeration date
01/17/2006
Last updated
09/11/2025
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