Provider Demographics
NPI:1174680284
Name:MCADOO, HAROLD ALEXANDER (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:ALEXANDER
Last Name:MCADOO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WESTGATE DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:WEST END
Mailing Address - State:NC
Mailing Address - Zip Code:27376-8038
Mailing Address - Country:US
Mailing Address - Phone:910-295-0772
Mailing Address - Fax:910-295-9871
Practice Address - Street 1:200 WESTGATE DRIVE
Practice Address - Street 2:SUITE C
Practice Address - City:WEST END
Practice Address - State:NC
Practice Address - Zip Code:27376-8038
Practice Address - Country:US
Practice Address - Phone:910-295-0772
Practice Address - Fax:910-295-9871
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC45131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice