NPI 1043106099

Ideal Dental McDonough PC

Organisation Dentist McDonough, GA

Practice location

Address: 1060 Chen Pkwy STE C, McDonough, GA 30253-5270
Phone: (972) 361-0600
Mailing address: PO Box 840925, Dallas, TX 75284-0925

Authorised official

Name: Matthew Doan
Title: Owner
Phone: (972) 331-8067

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X

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Registry record

NPI: 1043106099
Entity type: Organization
NPI issued: 16 Jun 2025
Record last updated: 16 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.