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Michael Justice Mcdonald
General Practice Dentistry in Siloam Springs, Arkansas
NPI 1912402868

Michael Justice Mcdonald is a General Practice Dentistry based in Garland, AR and is specialized in General Practice. Michael Justice Mcdonald practices in Siloam Springs, AR. The NPI Number for Michael Justice Mcdonald is 1912402868 and holds a License No. 35763 (Arkansas).

The current practice location address for Michael Justice Mcdonald is 3555 E Us-412 Hwy, Siloam Springs, AR and can be reached out via phone at 210-956-0517.

Location: 3555 E Us-412 Hwy, Siloam Springs, AR, 75043-1121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912402868
Provider Name
Michael Justice Mcdonald
Credential
Provider Entity Type
Individual
Gender
Male
Address
3555 E Us-412 Hwy, Siloam Springs, AR, 75043-1121
Phone Number
210-956-0517
Fax Number
Provider Enumeration Date
03/23/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3555 E Us-412 Hwy
City
Siloam Springs
State
Arkansas
Zip
72761
Phone Number
210-956-0517
Fax Number
person
Provider Business Mailing Address Details
Address
3555 E Us-412 Hwy
City
Siloam Springs
State
Arkansas
Zip
72761
Phone Number
210-956-0517
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
LL463-18 (Nevada)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
35763 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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