NPI 1629168802

Michael T. McDonald, DDS

Practitioner General Practice Dentistry Amory, MS

Practice location

Address: 400 2nd Ave N, Amory, MS 38821-3513
Phone: (662) 256-5601
Fax: (662) 256-5602
Mailing address: 112 Pecan Orchard Lane P. O. Box 421, Amory, MS 38821-0421

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 1549-73 (MS)

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Registry record

NPI: 1629168802
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2006
Record last updated: 8 Jul 2007

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.