Individual provider · Type 1 NPI

Mark Thomas McDonough, DDS

Oral and Maxillofacial Surgery (Dentist) · Indianapolis, IN

NPI number 1760048557 Active

Practice location

550 University Blvd
Indianapolis, IN 46202-5149

Mailing address

550 University Blvd # 3145
Indianapolis, IN 46202-5149

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X12013134A (IN)

Oral and Maxillofacial Surgery (Dentist): 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.

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About NPI 1760048557

Mark Thomas McDonough, DDS's National Provider Identifier is 1760048557, issued on May 16, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Indianapolis, IN. The record was last updated on May 16, 2019.