Provider Demographics
NPI:1518538511
Name:CABEL MCDONALD DDS PLLC
Entity Type:Organization
Organization Name:CABEL MCDONALD DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CABEL
Authorized Official - Middle Name:ARON
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:360-425-7220
Mailing Address - Street 1:855 11TH AVE STE B
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98632-2461
Mailing Address - Country:US
Mailing Address - Phone:253-459-5483
Mailing Address - Fax:
Practice Address - Street 1:14411 NE 20TH AVE STE 111
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-6433
Practice Address - Country:US
Practice Address - Phone:360-425-7220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery