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General NPI Number Information
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NPI Number | 1851408991
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Entity Type | Individual
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Provider Name | JAMES LEE MCDONALD DDS
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Gender | Male
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 44 SAINT CROIX TRL S
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City | LAKELAND
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State | MN
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Zip | 55043-8404
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Country | US
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Telephone | 701-261-8986
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9279
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City | FARGO
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State | ND
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Zip | 58106-9279
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Country | US
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Telephone | 701-261-8986
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1715
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6001907-15
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 9507
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License Number State | MN
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