Individual
DR. MATTHEW MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1501 HILLIARD ROME RD, SUITE E, COLUMBUS, OH 43228-9544
(614) 398-3798
Mailing address
1501 HILLIARD ROME RD, SUITE E, COLUMBUS, OH 43228-9544
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30024015
OH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
FM1768362
PA
Other
Enumeration date
04/23/2009
Last updated
07/07/2016
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