Individual
MR. BRENT C. MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
608 KNOX ST, BARBOURVILLE, KY 40906-1304
(606) 546-6711
(606) 546-2574
Mailing address
608 KNOX ST, BARBOURVILLE, KY 40906-1304
(606) 546-6711
(606) 546-2574
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7384
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60073848
—
KY
Enumeration date
11/20/2006
Last updated
01/24/2013
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