| Edwin Kenneth Mcdonald Iii, DDS | |
|
3195 Broadway, Gary, IN 46409-1006 | |
| (219) 887-0104 | |
| (219) 887-0981 |
| Full Name | Edwin Kenneth Mcdonald Iii |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 3195 Broadway, Gary, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528173853 | NPI | - | NPPES |
| 8052 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8052 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Edwin Kenneth Mcdonald Iii, DDS 3195 Broadway, Gary, IN 46409-1006 Ph: (219) 887-0104 | Edwin Kenneth Mcdonald Iii, DDS 3195 Broadway, Gary, IN 46409-1006 Ph: (219) 887-0104 |
Dr. Jason William Cooper, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3506 Village Ct, Gary, IN 46408 Phone: 219-985-3133 | |
Dr. Wyatt L Smith, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5010 Broadway, Gary, IN 46408 Phone: 219-887-6053 Fax: 219-887-3626 | |
Marshall J Belmer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3506 Village Ct, Gary, IN 46408 Phone: 219-985-3133 | |
Dr. Maie M Shabana, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3506 Village Ct, Gary, IN 46408 Phone: 219-985-3133 Fax: 219-985-3139 | |
Calara K Hardin, Dentist Medicare: Medicare Enrolled Practice Location: 3506 Village Ct, Gary, IN 46408 Phone: 219-985-3133 | |
Trinoda G Radcliffe, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1901 Grant St, Gary, IN 46404 Phone: 219-880-1430 Fax: 219-880-1431 |