Provider Demographics
NPI:1033229539
Name:MCDONALD, ANNE STEWART (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:STEWART
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 SOUTH PICKET ST
Mailing Address - Street 2:#104
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304
Mailing Address - Country:US
Mailing Address - Phone:703-751-5223
Mailing Address - Fax:703-751-5210
Practice Address - Street 1:50 SOUTH PICKET ST
Practice Address - Street 2:#104
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304
Practice Address - Country:US
Practice Address - Phone:703-751-5223
Practice Address - Fax:703-751-5210
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401006831122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist