Individual
DR. LEANNE L MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
325 E PUSHMATAHA ST, BUTLER, AL 36904-2533
(205) 459-5535
Mailing address
325 E PUSHMATAHA ST, BUTLER, AL 36904-2533
(205) 459-5535
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4801
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34063
BC/BS AL PROVIDER #
AL
01
—
671736
UNITED CONDORDIA PROVIDER
AL
Enumeration date
09/14/2006
Last updated
07/08/2007
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