Provider Demographics
NPI:1427008846
Name:MACINA, DONALD J (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:J
Last Name:MACINA
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 1:1536 CRESCENT RD
Mailing Address - Street 2:PLAZA 8
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-7729
Mailing Address - Country:US
Mailing Address - Phone:518-348-1173
Mailing Address - Fax:518-348-0494
Practice Address - Street 1:1536 CRESCENT RD
Practice Address - Street 2:PLAZA 8
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-7729
Practice Address - Country:US
Practice Address - Phone:518-348-1173
Practice Address - Fax:518-348-0494
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033829122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist