Kelly Mcdonough Dds A Dental Corporation in Dana Point - Dentist
Kelly Mcdonough Dds A Dental Corporation - NPI 1962613190
Kelly Mcdonough Dds A Dental Corporation is a Dentist in Dana Point, California. Kelly Mcdonough Dds A Dental Corporation practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kelly Mcdonough Dds A Dental Corporation is 1962613190. The last update date is 2020-08-22.
Kelly Mcdonough Dds A Dental Corporation's current location address is 19 Monarch Bay Plz, Dana Point, California. You can contact this provider via phone number 9494877779. The mailing address for Kelly Mcdonough Dds A Dental Corporation is 19 Monarch Bay Plz, Dana Point, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kelly Mcdonough Dds A Dental Corporation |
|---|---|
| Address | 19 Monarch Bay Plz, Dana Point, California |
| Phone Number | 9494877779 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mcdonough Kelly |
| Credentials | DDS |
| Telephone Number | 9494877779 |
NPI Number Detail
| NPI Number | 1962613190 |
|---|---|
| Provider Enumeration Date | 2007-05-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 19 Monarch Bay Plz |
|---|---|
| City | Dana Point |
| State | California (CA) |
| Post Code | 926293424 |
| Phone Number | 9494877779 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 33197 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to Kelly Mcdonough Dds A Dental Corporation by the Centers for Medicare & Medicaid Services (CMS)?
The Kelly Mcdonough Dds A Dental Corporation has been assigned the NPI (National Provider Identifier) 1962613190. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Kelly Mcdonough Dds A Dental Corporation is physically located?
The Kelly Mcdonough Dds A Dental Corporation is situated at the following address: 19 Monarch Bay Plz, Dana Point, CA 926293424.
What is Kelly Mcdonough Dds A Dental Corporation's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly Mcdonough Dds A Dental Corporation's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Kelly Mcdonough Dds A Dental Corporation receive the assignment of its 1962613190 from the Centers for Medicare & Medicaid Services?
The Kelly Mcdonough Dds A Dental Corporation was issued its 1962613190 by the Centers for Medicare & Medicaid Services on 2007-05-28.
When was the information pertaining to Kelly Mcdonough Dds A Dental Corporation most recently updated or revised?
The details related to Kelly Mcdonough Dds A Dental Corporation, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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