Individual
DR. DAVID W MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
102 ERVIN DR., SUITE A, CARTHAGE, TN 37030
(615) 735-0600
(615) 735-6205
Mailing address
PO BOX 297, CARTHAGE, TN 37030-0297
(615) 735-0600
(615) 735-6205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-3995
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030965
BLUE CROSS BLUE SHIELD
TN
01
—
853008
UNITED CONCORDIA
TN
Enumeration date
12/18/2006
Last updated
07/08/2007
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