Individual
DR. JOHN WILLIAM MACDONALD II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
717 S. LINDBERGH BLVD., ST. LOUIS, MO 63131
(314) 749-3776
Mailing address
717 S. LINDBERGH BLVD., ST. LOUIS, MO 63131
(314) 749-3776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016077
MO
1223G0001X
General Practice Dentistry
019-025271
IL
Other
Enumeration date
07/07/2006
Last updated
09/30/2011
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