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

Michael Justice McDonald

Individual provider General Practice Dentistry · NPI 1912402868

Michael Justice McDonald is a General Practice Dentistry in Siloam Springs, Arkansas. Licensed in Arkansas, Nevada and Texas. Registered with an NPI since 2018.

Licensed in
AR, NV, TX
In the registry since
2018
Specialties on file
4

Practice location Address checks out

3555 E US-412 Hwy Ste 30
Siloam Springs, AR 72761
Phone: (210) 956-0517
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4632 (AR)
General Practice Dentistry Taxonomy 1223G0001X · Licence 35763 (TX)
General Practice Dentistry Taxonomy 1223G0001X · Licence LL463-18 (NV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912402868
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2018
Last updated in NPPESNovember 16, 2022
Certification dateNovember 9, 2022

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