Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

McDonough Dental Corporation

Organization General Practice Dentistry · NPI 1386285427

McDonough Dental Corporation is a General Practice Dentistry in Los Angeles, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

12013 Wilshire Blvd
Los Angeles, CA 90025-1201
Phone: (310) 219-6039
Fax: (310) 219-6038
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1386285427
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shaelan McDonough — Owner · (310) 219-6039
Other names Brentwood Modern Dentistry Dental Group; Brentwood Modern Dentistry Dental Group
NPI enumeratedSeptember 30, 2019
Last updated in NPPESMarch 8, 2022
Certification dateMarch 8, 2022
Mailing addressPo Box 920050, Dallas, TX 75392-0050

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