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Individual

NEVILLE J MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 615-2811
(734) 936-1597
Mailing address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 615-2811
(734) 936-1597

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018739
MI
1223E0200X
Endodontics
2901018739
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1958111640
BCBS OF MI MED SURGICAL
MI
01
S9D1873900
BCBS OF MI DENTAL
MI
Enumeration date
03/15/2007
Last updated
09/11/2025
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