Provider Demographics
NPI:1477338366
Name:DAVID MCDONALD DDS PLLC
Entity Type:Organization
Organization Name:DAVID MCDONALD DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:479-802-0800
Mailing Address - Street 1:125 PRESIDENTIAL DR STE A
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:AR
Mailing Address - Zip Code:72745-9608
Mailing Address - Country:US
Mailing Address - Phone:479-802-0800
Mailing Address - Fax:
Practice Address - Street 1:125 PRESIDENTIAL DR STE A
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:AR
Practice Address - Zip Code:72745-9608
Practice Address - Country:US
Practice Address - Phone:479-802-0800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental