Provider Demographics
NPI:1033389549
Name:MCCARTHY GENERAL DENTISTRY
Entity Type:Organization
Organization Name:MCCARTHY GENERAL DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:650-343-3042
Mailing Address - Street 1:1275 CALIFORNIA DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3430
Mailing Address - Country:US
Mailing Address - Phone:650-343-3042
Mailing Address - Fax:
Practice Address - Street 1:1275 CALIFORNIA DR
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-3430
Practice Address - Country:US
Practice Address - Phone:650-343-3042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty