MCDONALD ORAL AND MAXILLOFACIAL SURGERY, LLC (NPI# 1538552625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538552625 |
| Entity Type | Organization |
| Organization Name | MCDONALD ORAL AND MAXILLOFACIAL SURGERY, LLC |
| Practice Address |
1509 Heritage Ln Florence SC 29505-3141 |
| Practice Telephone | 8437994878 |
| Practice Fax Number | 8437994977 |
| Mailing Telephone | 8437994878 |
| Mailing Fax Number | 8437994977 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2017-01-25 |
| Authorized Official Name | DR. THOMAS ALBERT MCDONALD (OWNER) |
| Authorized Official Telephone | 8437994878 |
| Authorized Official Credential | DMD, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3176 | SC | Dental Providers |
| Street Address |
1509 HERITAGE LN |
| City | FLORENCE |
| State | SC |
| Zip Code | 29505-3141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932113180 | Thomas A Mcdonald | Dentist | 1509 Heritage Ln, Florence, SC 29505-3141 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245745066 | Jessica Hayes | Counselor | 1414 West Evans Street, Florence, SC 29505 | 2017-12-04 |
| 1467989665 | Lelia Denise Mckay | Counselor | 181 E Evans Street, Florence, SC 29505 | 2017-05-18 |
| 1295187714 | Sarah Shaeffer | Community Health Worker | 3200 S. Irby St, South Florence Hgh School, Florence, SC 29505 | 2016-07-08 |
| 1548616097 | Lena Vaughn Bullock | Behavioral Analyst | 444 2nd Loop Rd, Florence, SC 29505 | 2016-05-13 |
| 1255700332 | Carmine J Gargano | Physical Therapist | 2360 Freedom Blvd Apt C8, Florence, SC 29505 | 2015-09-18 |
| 1417373440 | Megan Ann Roy | Occupational Therapist | 440 Second Loop Rd, Mcleod Pediatric Rehab, Florence, SC 29505 | 2014-03-14 |
| 1669807863 | Andrea Carrieri Thomas | Dentist | 1519 Heritage Lane, Florence, SC 29505 | 2013-09-06 |
| 1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
| 1326482928 | Total Renal Care Inc | Clinic/Center | 1520 Flag Dr, Florence, SC 29505 | 2013-04-25 |
| 1346599743 | Haley Morgan Carter | Pharmacist | 513 Cricklewood Dr., Florence, SC 29505 | 2012-08-31 |
| Find all providers in zip 29505 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700182482 | Jonathan Michael Tagliareni | Dentist | 101 William H Johnson St Ste 440, Florence, SC 29506-2769 | 2011-01-28 |
| 1134359664 | Florence Oral and Maxillofacial Surgery | Dentist | 154 Titan Drive, Florence, AL 35630 | 2009-07-17 |
| 1457563066 | James Mark Lawhon | Dentist | 230 Cherokee Rd, Florence, SC 29501-5225 | 2007-05-04 |
| 1083751481 | Daniel Lee Morris Jr. | Dentist | 154 Titan Dr, Florence, AL 35630-1197 | 2007-02-01 |
| 1932113180 | Thomas A Mcdonald | Dentist | 1509 Heritage Ln, Florence, SC 29505-3141 | 2006-07-27 |
| 1487637740 | Kenneth J Lowry | Dentist | 302 W Pine St, Florence, SC 29501-4727 | 2005-11-21 |
| 1134780364 | Mcleod Physician Associates II | Dentist | 101 William H Johnson St Ste 440, Florence, SC 29506-2769 | 2019-06-27 |
| 1083827620 | J. Mark Lawhon, Dmd, Pa | Dentist | 230 Cherokee Rd, Florence, SC 29501-5225 | 2007-05-08 |
| 1174678783 | Chewning & Mcdonald Oral & Maxil Pa | Dentist | 901 E Cheves Street, Ste 440, Florence, SC 29506-2772 | 2007-01-24 |
| 1356355598 | Lawrence R Chewning Jr. | Dentist | 901 E Cheves St, Suite 440, Florence, SC 29506-2716 | 2006-07-27 |
| Find all providers in FLORENCE | ||||
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| 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.