MCDONNELL DENTAL CARE NPI 1184406704

NPI Information

NPI: 1184406704
Provider Name: MCDONNELL DENTAL CARE
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1440 REED CANAL RD STE 101
PORT ORANGE, FL
ZIP 32129
Phone: (386) 410-4943
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MCDONNELL DENTAL CARE is a dental clinic center in Port Orange, FL. MCDONNELL DENTAL CARE NPI is 1184406704. The provider is registered as an organization entity type.

The provider's business location address is:

1440 REED CANAL RD STE 101
PORT ORANGE, FL
ZIP 32129-460
Phone: (386) 410-4943
Fax: (386) 339-0321

The provider's authorized official is Jenifer Hartmann .
The authorized official title is Office Administrator and has the following contact phone number (386) 410-4943.

The enumeration date for this NPI number is 10/18/2023 and was last updated on 10/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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