Provider Demographics
NPI:1891845228
Name:MCDONALD, SEAN A (DDS)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:A
Last Name:MCDONALD
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:MY DENTIST 2001 W LINDSEY ST
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-4105
Mailing Address - Country:US
Mailing Address - Phone:405-329-6556
Mailing Address - Fax:405-329-6570
Practice Address - Street 1:MY DENTIST 2001 W LINDSEY ST
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-4105
Practice Address - Country:US
Practice Address - Phone:405-329-6556
Practice Address - Fax:405-329-6570
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK51181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice