Mark Newton Mcdonald in Fort Campbell - Dentist
Mark Newton Mcdonald - NPI 1093795122
Mark Newton Mcdonald is a Dentist in Fort Campbell, Kentucky. Mark Newton Mcdonald practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark Newton Mcdonald is 1093795122. The last update date is 2007-07-08.
Mark Newton Mcdonald's current location address is Bldg 2441 21st Street, Fort Campbell, Kentucky. You can contact this provider via phone number 2707988614 and fax number 2707988633. The mailing address for Mark Newton Mcdonald is Bldg 2441 21st Street, Fort Campbell, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Newton Mcdonald |
|---|---|
| Address | Bldg 2441 21st Street, Fort Campbell, Kentucky |
| Phone Number | 2707988614 |
| Fax Number | 2707988633 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1093795122 |
|---|---|
| Provider Enumeration Date | 2006-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Bldg 2441 21st Street |
|---|---|
| City | Fort Campbell |
| State | Kentucky (KY) |
| Post Code | 422235369 |
| Phone Number | 2707988614 |
| Fax Number | 2707988633 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DE014689 |
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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 identification code assigned to Mark Newton Mcdonald by the Centers for Medicare & Medicaid Services?
The Mark Newton Mcdonald has been issued the NPI (National Provider Identifier) 1093795122. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark Newton Mcdonald located?
The Mark Newton Mcdonald is located at Bldg 2441 21St Street, Fort Campbell, KY 422235369.
What is Mark Newton Mcdonald's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark Newton Mcdonald is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093795122 to Mark Newton Mcdonald?
The Centers for Medicare & Medicaid Services originally issued the 1093795122 to Mark Newton Mcdonald on 2006-01-17.
When was the information regarding Mark Newton Mcdonald most recently updated?
The details pertaining to the Mark Newton Mcdonald, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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