Individual
WILLAIM D MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
389 JOHNNIE DODDS BLVD, SUITE B, MT PLEASANT, SC 29464-2950
(843) 884-7041
(843) 971-9299
Mailing address
1130 PROFESSIONAL LN, MT PLEASANT, SC 29466-7193
(843) 216-5879
(843) 216-5891
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3881
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3881
—
SC
Enumeration date
01/10/2007
Last updated
01/06/2011
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