Organization
LYNETTE M. MCDONALD DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNETTE M MCDONALD DDS (OWNER/DENTIST)
(910) 433-4600
Entity
Organization
Contact information
Practice address
2537B RAEFORD RD, FAYETTEVILLE, NC 28305-5161
(910) 433-4600
(910) 486-6995
Mailing address
2537B RAEFORD RD, FAYETTEVILLE, NC 28305-5161
(910) 433-4600
(910) 486-6995
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5513
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
822123
UNITED CONCORDIA
—
01
—
95581
BCBS
—
Enumeration date
07/07/2005
Last updated
06/13/2012
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