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General NPI Number Information
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NPI Number | 1780246231
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Entity Type | Individual
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Provider Name | CANDACE DIONNE MCDONALD DDS
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Gender | Female
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Dates
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Enumeration Date | 07/05/2019
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Last Update Date | 08/11/2025
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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 | 513-815-3188
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Fax |
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Provider Business Mailing Address
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Address Line | 4347 LONG LAKE DR APT 8316
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City | BATAVIA
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State | OH
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Zip | 45103-4623
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Country | US
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Telephone | 513-910-3823
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.025847
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License Number State | OH
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