Provider Demographics
NPI:1295303584
Name:MCDONLAD DENTAL PLLC
Entity type:Organization
Organization Name:MCDONLAD DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-550-9054
Mailing Address - Street 1:15757 FM 529 RD STE A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2890
Mailing Address - Country:US
Mailing Address - Phone:281-550-9054
Mailing Address - Fax:281-550-1732
Practice Address - Street 1:15757 FM 529 RD STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2890
Practice Address - Country:US
Practice Address - Phone:281-550-9054
Practice Address - Fax:281-550-1732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental