DR. MARK T MCDONALD (NPI# 1063604429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063604429 |
| Entity Type | Individual |
| Full Name | DR. MARK T MCDONALD |
| Credential | DDS |
| Practice Address |
1601 12th Ave Rd Suite 103 Nampa ID 83686-7711 |
| Practice Telephone | 2084679690 |
| Practice Fax Number | 2084660412 |
| Mailing Telephone | 2084679690 |
| Mailing Fax Number | 2084660412 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D3958 | ID | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407140106 | Mark W Mcdonald | Emergency Medicine | 629 Winding Brook Ln, Tyler, TX 75703-0832 | 2011-05-31 |
| 1093795122 | Mark Newton Mcdonald | Dentist | Bldg 2441 21st Street, Usa Dentac, Fort Campbell, KY 42223-5369 | 2006-01-17 |
| 1861479479 | Mark C Mcdonald | Physician Assistant | 8700 W Watertown Plank Rd, Orthopaedic Surgery, Milwaukee, WI 53226 | 2005-12-23 |
| 1366837429 | Mark M Mcdonald | Psychiatry & Neurology | 1221 Lee Street, Charlottesville, VA 22908-0816 | 2015-04-05 |
| 1861818494 | Mark Mcdonald | Physical Therapist | 1450 Route 208, Wallkill, NY 12589-3799 | 2014-03-06 |
| 1386078061 | Mark Mcdonald | Counselor | 1202 S James Campbell Blvd, Ste 7a, Columbia, TN 38401-5193 | 2013-08-29 |
| 1750632048 | Mark Zachary Mcdonald | Physical Therapist | 1114 W Jackson St, Ozark, MO 65721-9164 | 2012-09-26 |
| 1144408287 | Mark William Mcdonald | Radiology | 1365 Clifton Rd Ne, Suite A1341, Atlanta, GA 30322-1013 | 2008-01-31 |
| 1770766305 | Mark E Mcdonald | Adult Companion | 2908 Ne Killingsworth St, Portland, OR 97211-6812 | 2007-12-05 |
| 1114116506 | Mark Mcdonald | Psychiatry & Neurology | 11500 W Olympic Blvd, Suite 426, Los Angeles, CA 90064-1524 | 2007-10-22 |
| Street Address |
1601 12TH AVE RD SUITE 103 |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-7711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730370065 | Jarom L John | Dentist | 1601 12th Ave Rd, Suite 103, Nampa, ID 83686-7711 | 2007-08-01 |
| 1750731212 | Mark Evans | Dentist | 1601 12th Ave Rd, Nampa, ID 83686-7711 | 2016-06-15 |
| 1518371251 | Paul J Clawson | Dentist | 1601 12th Ave Rd, Ste 103, Nampa, ID 83686-7711 | 2014-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942600390 | Tristan Galloway Dds Pllc | Dentist | 820 17th Ave S, Nampa, ID 83651-4740 | 2014-09-03 |
| 1679889398 | Tristan Galloway | Dentist | 3600 S Midland Blvd, Nampa, ID 83686-8215 | 2010-08-19 |
| 1386875136 | Quinn J Smith | Dentist | 11136 Moss Ln, Nampa, ID 83651-8015 | 2009-07-28 |
| 1730319500 | Bryan John Dille | Dentist | 108 S Powerline Rd, Nampa, ID 83686-5439 | 2009-07-15 |
| 1730370065 | Jarom L John | Dentist | 1601 12th Ave Rd, Suite 103, Nampa, ID 83686-7711 | 2007-08-01 |
| 1730379793 | Chris Satchwell | Dentist | 16377 N Marketplace Blvd, Nampa, ID 83687-7910 | 2007-07-26 |
| 1225195282 | Ryan M Payne | Dentist | 222 W Iowa Ave Ste 200, Nampa, ID 83686-6814 | 2007-01-02 |
| 1760556922 | Jared Travis French | Dentist | 4411 E Flamingo Ave, Nampa, ID 83687-3113 | 2006-11-20 |
| 1093889404 | Bradford Bruce Fisher | Dentist | 205 7th Ave So, Nampa, ID 83651 | 2006-11-17 |
| 1770692618 | Robert Alan Pratt | Dentist | 605 W Highland Ave, Nampa, ID 83686-4925 | 2006-08-30 |
| Find all providers in NAMPA | ||||
Please comment or provide details below to improve the information on DR. MARK T MCDONALD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.