Organization
M. T. MCDONALD, D. D. S., P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL T. MCDONALD D. D. S. (PRESIDENT)
(662) 256-5601
Entity
Organization
Contact information
Practice address
400 2ND AVE N, AMORY, MS 38821-3513
(662) 256-5601
(662) 256-5602
Mailing address
400 2ND AVE N, P. O. BOX 421, AMORY, MS 38821-3513
(662) 256-5601
(662) 256-5602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1549-73
MS
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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