| Patrick M. Mcdonough, D.d.s., M.s., P.a. | |
|
2808 Village Way Trent Woods NC 28562-7305 | |
| (252) 633-1631 | |
| (252) 633-3922 |
| Full Name | Patrick M. Mcdonough, D.d.s., M.s., P.a. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2808 Village Way, Trent Woods, North Carolina |
| Authorized Official Name and Position | Patrick Mcdonough (PRESIDENT) |
| Authorized Official Contact | 2526331631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick M. Mcdonough, D.d.s., M.s., P.a. 2808 Village Way Trent Woods NC 28562-7305 Ph: (252) 633-1631 | Patrick M. Mcdonough, D.d.s., M.s., P.a. 2808 Village Way Trent Woods NC 28562-7305 Ph: (252) 633-1631 |
| NPI Number | 1689032468 |
|---|---|
| Provider Enumeration Date | 02/08/2016 |
| Last Update Date | 02/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689032468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 7685 (North Carolina) | Primary |
Jeffery R. Thomas, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2808 Village Way, Trent Woods, NC 28562 Phone: 252-633-1631 Fax: 252-633-3922 | |
Mark W. Russell, Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2815 Village Way, Trent Woods, NC 28562 Phone: 252-633-4444 Fax: 252-638-1586 |