OrganizationActive
Mcdonough Dental Corporation
NPI 1386285427 · General Practice Dentistry · Los Angeles, CA
Mcdonough Dental Corporation is a General Practice Dentistry organization in Los Angeles, CA (NPI 1386285427).
Provider details
- NPI number
- 1386285427
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Shaelan Mcdonough, Owner(310) 219-6039
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12013 Wilshire Blvd
Los Angeles, CA 90025-1201
Phone: (310) 219-6039
Fax: (310) 219-6038
Street-level locationGet directions
Mailing address
Po Box 920050
Dallas, TX 75392-0050
Other names (DBA / former)
- Doing business as
- Brentwood Modern Dentistry Dental Group
- Doing business as
- Brentwood Modern Dentistry Dental Group
Registry dates
- Enumerated
- 2019-09-30
- Last updated
- 2022-03-08
- Certified
- 2022-03-08
Frequently asked questions
- What is Mcdonough Dental Corporation's NPI number?
- Mcdonough Dental Corporation's National Provider Identifier (NPI) is 1386285427, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mcdonough Dental Corporation?
- Mcdonough Dental Corporation is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Mcdonough Dental Corporation located?
- Mcdonough Dental Corporation's practice location on file with NPPES is 12013 Wilshire Blvd, Los Angeles, CA 90025-1201.
- What is Mcdonough Dental Corporation's phone number?
- The practice phone number listed in the NPPES registry for Mcdonough Dental Corporation is (310) 219-6039.
- Who is the authorized official for Mcdonough Dental Corporation?
- The authorized official listed on Mcdonough Dental Corporation's NPPES record is Shaelan Mcdonough, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mcdonough Dental Corporation's NPI active?
- Yes — Mcdonough Dental Corporation's NPI (1386285427) is active in the NPPES registry as of the last update on 2022-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.