Mark T Mcdonald in Nampa - Dentist

Mark T Mcdonald - NPI 1063604429

Mark T Mcdonald is a Dentist in Nampa, Idaho. Mark T Mcdonald practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark T Mcdonald is 1063604429. The last update date is 2023-04-19.

Mark T Mcdonald's current location address is 3246 12th Ave Rd, Nampa, Idaho. You can contact this provider via phone number 2084679690. The mailing address for Mark T Mcdonald is 3246 12th Ave Rd, Nampa, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark T Mcdonald
Address 3246 12th Ave Rd, Nampa, Idaho
Phone Number 2084679690
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1063604429
Provider Enumeration Date 2007-08-09
Last Updated Date 2023-04-19

Provider Mailing Address Detail

Address 3246 12th Ave Rd
City Nampa
State Idaho (ID)
Post Code 836868404
Phone Number 2084679690
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No D3958
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
807650200 ID --

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FAQs about Mark T Mcdonald

What is the unique provider identifier assigned to Mark T Mcdonald?

The Mark T Mcdonald has been issued the NPI (National Provider Identifier) 1063604429 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Mark T Mcdonald's facilities are geographically located?

The facilities of Mark T Mcdonald are physically situated at the following location: 3246 12Th Ave Rd, Nampa, ID, 836868404.

What is the Mark T Mcdonald's area of specialization and corresponding taxonomy classification?

The Mark T Mcdonald's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.

On what date was the 1063604429 assigned to Mark T Mcdonald?

The Mark T Mcdonald was issued its 1063604429 on 2007-08-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Mark T Mcdonald, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mark T Mcdonald, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-04-19.

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