Edwin Kenneth Mcdonald Iii is a Gary, Indiana based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Edwin Kenneth Mcdonald Iii is 8052 for Dentistry in Indiana. His current practice location is 3195 Broadway, Gary. Patients can reach him at 219-887-0104.
Edwin Kenneth Mcdonald Iii is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Edwin Kenneth Mcdonald Iii speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Edwin Kenneth Mcdonald Iii
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
3195 Broadway, Gary, Indiana, 46409-1006
Phone:
219-887-0104
Fax:
219-887-0981
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1528173853
NPI Enumeration Date:
19 Aug, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Edwin Kenneth Mcdonald Iii are as mentioned below.
License Number
Specialization
State
Status
8052
Dentistry
Indiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Edwin Kenneth Mcdonald Iii such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8052
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3195 Broadway, Gary, Indiana
Zip:
46409-1006
Phone Number:
219-887-0104
Fax Number:
219-887-0981
Patients can reach Edwin Kenneth Mcdonald Iii at 3195 Broadway, Gary, Indiana or can call to book an appointment on 219-887-0104. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.