1710984463 NPI number — LYNETTE M. MCDONALD DDS PA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710984463 NPI number — LYNETTE M. MCDONALD DDS PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LYNETTE M. MCDONALD DDS PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710984463
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/13/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2537B RAEFORD RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FAYETTEVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28305-5161
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
910-433-4600
Provider Business Mailing Address Fax Number:
910-486-6995

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2537B RAEFORD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FAYETTEVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28305-5161
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-433-4600
Provider Business Practice Location Address Fax Number:
910-486-6995
Provider Enumeration Date:
07/07/2005

Additional Information

Authorized Official

Authorized Official Last Name:
MCDONALD
Authorized Official First Name:
LYNETTE
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OWNER/DENTIST
Authorized Official Telephone Number:
910-433-4600

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  5513 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 95581 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 822123 . This is a "UNITED CONCORDIA" identifier . This identifiers is of the category "OTHER".




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