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General NPI Number Information
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NPI Number | 1649146697
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Entity Type | Organization
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Legal Business Name | CANDACE D MCDONALD DDS LLC
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 5520 HARRISON AVE STE A
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City | CINCINNATI
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State | OH
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Zip | 45248-2363
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Country | US
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Telephone | 513-347-3001
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Fax | 513-347-3006
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Provider Business Mailing Address
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Address Line | 5520 HARRISON AVE STE A
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City | CINCINNATI
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State | OH
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Zip | 45248-2363
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Country | US
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Telephone | 513-347-3001
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Fax | 513-347-3006
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Authorized Official
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Title or Position | DENTIST
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Name | DR. CANDACE MCDONALD
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Credential | DDS
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Telephone | 513-910-3823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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