Macleod, Douglas Kenneth

Macleod, Douglas Kenneth is an individual health care provider with primary practice located at 6900 Six Forks Rd Ste 104, Raleigh NC 27615-6427. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Macleod, Douglas Kenneth can be contacted via phone (919) 848-8444.

Contact Information

Primary practice address
6900 Six Forks Rd Ste 104 Raleigh NC 27615-6427
Phone: (919) 848-8444
Fax: (919) 848-8445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5363 North Carolina

Profile Details

NPI number 1467457499
LBN Legal business name Macleod, Douglas Kenneth
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467457499 NPPES
North Carolina Other 95443 BLUE CROSS ID
North Carolina MEDICAID 8995443 BLUE CROSS ID

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