Provider Type Icon

MCDONNELL AND MCMAHON PEDIATRIC DENTISTRY PLLC NPI 1821486754


NPI Information

NPI: 1821486754
Provider Name: MCDONNELL AND MCMAHON PEDIATRIC DENTISTRY PLLC

Doing Business As: THE SMILE LODGE

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
713 PIERCE RD
CLIFTON PARK, NY
ZIP 12065
Phone: (518) 373-1181
Get Directions

MCDONNELL AND MCMAHON PEDIATRIC DENTISTRY PLLC is a pediatric dentistry dentist in Clifton Park, NY. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. MCDONNELL AND MCMAHON PEDIATRIC DENTISTRY PLLC NPI is 1821486754. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As The Smile Lodge.

The provider's business location address is:

713 PIERCE RD
CLIFTON PARK, NY
ZIP 12065-302
Phone: (518) 373-1181
Fax: (518) 373-0130

The provider's authorized official is James P Mcdonnell .
The authorized official title is Member and has the following contact phone number (518) 373-1181.

The enumeration date for this NPI number is 12/30/2014 and was last updated on 1/2/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry053734NEW YORKNo
21223P0221XDentistPediatric Dentistry054764NEW YORKNo
31223P0221XDentistPediatric Dentistry054477NEW YORKNo
41223P0221XDentistPediatric Dentistry056708NEW YORKNo
51223P0221XDentistPediatric Dentistry057555NEW YORKNo
61223P0221XDentistPediatric Dentistry057644NEW YORKNo
71223P0221XDentistPediatric Dentistry48803NEW YORKYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.