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

Dr. Mark T McDonald, DDS

Individual provider Dentist · NPI 1063604429

Dr. Mark T McDonald, DDS is a Dentist in Nampa, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3246 12th Ave Rd
Nampa, ID 83686-8404
Phone: (208) 467-9690
Fax: (208) 466-0412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D3958 (ID)

Record details

NPI number1063604429
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 9, 2007
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023
Mailing address3246 12th Ave Rd, Nampa, ID 83686-8404

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