Mcdonald, Brandon W

Mcdonald, Brandon W is an individual health care provider with primary practice located at 66 Somme St , Newark NJ 07105-3612. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Mcdonald, Brandon W can be contacted via phone (973) 578-8788.

Contact Information

Primary practice address
66 Somme St Newark NJ 07105-3612
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 062205-01 New York
Dental Providers / Pediatric Dentistry 1223P0221X 22DI0-2781600 New Jersey

Profile Details

NPI number 1336702521
LBN Legal business name Mcdonald, Brandon W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2019
Last updated Feb 28th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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