Edwin Kenneth McDonald III, DDS
Dentist · Gary, IN
Practice location
3195 BroadwayGary, IN 46409-1006
- Phone
- (219) 887-0104
- Fax
- (219) 887-0981
NPI record
- NPI
- 1528173853
- Entity type
- Individual (Type 1)
- Enumeration date
- August 19, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
8052 | IN |
About Dr. McDonald
Edwin Kenneth McDonald III, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3195 Broadway, Gary, IN 46409-1006. The NPI number 1528173853 was assigned on August 19, 2006 and the record was last updated on July 8, 2007.
Dr. McDonald lists a license in the registry: #8052 (IN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Edwin Kenneth McDonald III, DDS?
The NPI number is 1528173853.
What is the phone number of Dr. McDonald?
The phone number listed for the practice location is (219) 887-0104.
Where is Dr. McDonald located?
3195 Broadway, Gary, IN 46409-1006.
What is the taxonomy code for Dr. McDonald?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.