Provider Demographics
NPI:1790533529
Name:MCDONALD, ROSS CHANDLER (DMD)
Entity type:Individual
Prefix:DR
First Name:ROSS
Middle Name:CHANDLER
Last Name:MCDONALD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1403 WEATHERLY PLZ SE STE 100
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35803-2637
Mailing Address - Country:US
Mailing Address - Phone:256-880-0533
Mailing Address - Fax:
Practice Address - Street 1:1403 WEATHERLY PLZ SE STE 100
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35803-2637
Practice Address - Country:US
Practice Address - Phone:256-880-0533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-07
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALD.007364-C11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice