DR. SHELLEY WILKERSON MCDONALD


Address: 1922 23rd Ave, Meridian, MS 39301-3107
Phone: 6014828986

DR. SHELLEY WILKERSON MCDONALD (NPI# 1760646509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760646509
Entity Type Individual
Full Name DR. SHELLEY WILKERSON MCDONALD
Credential D.M.D.
Practice Address 1922 23rd Ave
Meridian
MS 39301-3107
Practice Telephone 6014828986
Practice Fax Number 6014826100
Mailing Telephone 6014828986
Mailing Fax Number 6014826100
Enumeration Date 2008-07-10
Last Update Date 2019-06-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
3468-08 MS Dental Providers
N 390200000X Student in an Organized Health Care Education/Training Program 3468-08 MS Student, Health Care

Other Providers SHELLEY MCDONALD

NPI Name Taxonomy Address Enumeration
1922205517 Shelley R Mcdonald Internal Medicine 40 Duke Medicine Cir, Durham, NC 27710-4000 2007-06-28

Office Location

Street Address 1922 23RD AVE
City MERIDIAN
State MS
Zip Code 39301-3107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710068739 J Britt Mccarty Dentist 1922 23rd Ave, Meridian, MS 39301-3107 2006-10-17
1356606511 Meridian Pediatric Dental Group, LLC Dentist 1922 23rd Ave, Meridian, MS 39301 2012-07-12
1700167145 J. Britt Mccarty Dmd Pa Clinic/Center 1922 23rd Ave, Meridian, MS 39301-3107 2011-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407460439 Kayla Lee Monsour Pharmacist 1415 24th Avenue, Meridian, MS 39301 2020-09-08
1306478359 K&r Optical Solutions Corporation Eyewear Supplier (Equipment, not the service) 3126 8th St., Suite A, Meridian, MS 39301 2020-02-07
1912537317 Courtney M Hollie Counselor 1054 Ms-19, Meridian, MS 39301 2020-01-24
1932636495 Rcg Mississippi, Inc. Clinic/Center 1300 38th Ave E, Meridian, MS 39301 2017-05-16
1811428915 Tierria Mcglothin Nurse Practitioner 1054 Highway 19 S, Meridian, MS 39301 2017-03-21
1154869303 Lindsay Nemanich Physical Therapist 3716 Ms-39, Meridian, MS 39301 2017-02-08
1700323599 Wal-mart Stores East Lp Pharmacy 3310-a Highway 39 North, Meridian, MS 39301 2017-01-31
1972977460 Southeast Pharmacy LLC Pharmacy 2402 Long Creek Road, Meridian, MS 39301 2015-11-20
1235508342 East Mississippi Oral & Facial Surgery, LLC Clinic/Center 1212 24th Avenue, Meridian, MS 39301 2015-09-18
1831580778 Clarkdale Pharmacy and Gifts LLC Pharmacy 6935c Hwy 145, Meridian, MS 39301 2015-02-13
Find all providers in zip 39301

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902325749 Cherry Lane Kids Dentistry Dentist 1558 N Crestmont Dr Ste A, Meridian, ID 83642-2194 2017-09-13
1720447097 Brock Coletti Dentist 3235 N Towerbridge Way Ste 200, Meridian, ID 83646-5721 2016-02-15
1811156722 Meridian Pediatric Dentistry, Pllc Dentist 1550 E Heritage Park St Ste 150, Meridian, ID 83646-5886 2008-06-05
1659546174 Randall Parley Blair Dentist 37 W Archerfield St Ste 100, Meridian, ID 83646-6587 2008-04-25
1710068739 J Britt Mccarty Dentist 1922 23rd Ave, Meridian, MS 39301-3107 2006-10-17
1407801939 Toby O Merriman Dentist 1550 E Heritage Park St, Ste 150, Meridian, ID 83646-5886 2006-05-23
1326098682 Joel E Whitt Dentist 3235 N Towerbridge Way, Suite 200, Meridian, ID 83646 2006-05-10
1962466292 Lawrence Wayne Meadors Dentist 2300 W Everest Ln, Suite 125, Meridian, ID 83646-5925 2006-04-13
1356606511 Meridian Pediatric Dental Group, LLC Dentist 1922 23rd Ave, Meridian, MS 39301 2012-07-12
1972863678 Dental Care for Kids Dentist 3235 N Towerbridge Way, Suite 200, Meridian, ID 83646-5721 2012-05-29
Find all providers in MERIDIAN

Competitor

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City MERIDIAN
Zip Code 39301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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