NPI 1134311772 · live from the CMS NPI Registry
John Lewis Mcdonald, D.M.D.
Dentist, Orthodontics and Dentofacial Orthopedics in Salem, OR. National Provider Identifier 1134311772, active.
NPI record
| NPI | 1134311772 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1855 W Nob Hill St Se, Suite 300, Salem, OR 97302 |
| Practice phone | 503-585-5400 |
| Enumerated | August 17, 2007 |
| Last updated | August 17, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | D6531 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.