Mcdonald, Mark Newton
Mcdonald, Mark Newton is an individual health care provider with primary practice located at Bldg 2441 21St Street Usa Dentac, Fort Campbell KY 42223-5369. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Mcdonald, Mark Newton can be contacted via phone (270) 798-8614.Contact Information
Primary practice address
Bldg 2441 21St Street Usa Dentac
Fort Campbell KY 42223-5369
Phone: (270) 798-8614
Fax: (270) 798-8633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE014689 | Missouri |
| Dental Providers / General Practice | 1223G0001X | DE014689 | Missouri |
| Dental Providers / General Practice | 1223G0001X | 17588 | Texas |
| Dental Providers / Dentist | 122300000X | 17588 | Texas |
Profile Details
| NPI number | 1093795122 |
|---|---|
| LBN Legal business name | Mcdonald, Mark Newton |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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