Individual
MICHAEL T. MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
400 2ND AVE N, AMORY, MS 38821-3513
(662) 256-5601
(662) 256-5602
Mailing address
112 PECAN ORCHARD LANE, P. O. BOX 421, AMORY, MS 38821-0421
(662) 256-2378
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1549-73
MS
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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