DR. ROBERT MCDONOUGH DDS NPI 1285634295

NPI Information

  • NPI: 1285634295
  • Provider Name: DR. ROBERT MCDONOUGH, DDS
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 6695 E US HIGHWAY 36
    AVON, IN
    ZIP 46123
  • Phone: (317) 272-2200

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NPI Details

DR. Robert Mcdonough, DDS is an oral and maxillofacial surgery dentist in Avon, IN. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Robert Mcdonough, DDS NPI is 1285634295. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6695 E US HIGHWAY 36
AVON, IN
ZIP 46123-923
Phone: (317) 272-2200
Fax: (317) 272-3714

The enumeration date for this NPI number is 8/1/2005 and was last updated on 3/10/2008.

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
11223S0112XDentistOral and Maxillofacial Surgery12008806INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000088447OTHERINDIANAANTHEM
2T89069MEDICARE UPININDIANA
3230340BMEDICARE PININDIANA

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: 11/21/2025

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