Individual
DR. PETER JAMES MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2830 S COLUMBIA RD, GRAND FORKS, ND 58201-6008
(701) 757-3025
(701) 757-3028
Mailing address
PO BOX 5666, GRAND FORKS, ND 58206-5666
(701) 757-3025
(701) 757-3028
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12117
MN
122300000X
Dentist
Primary
2394
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
949285
BCBS ND
ND
Enumeration date
04/12/2007
Last updated
03/12/2021
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