Provider Demographics
NPI:1043365075
Name:MCGARITY, NEWMAN CARLISLE (DMD)
Entity Type:Individual
Prefix:DR
First Name:NEWMAN
Middle Name:CARLISLE
Last Name:MCGARITY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 E RUTHERFORD ST
Mailing Address - Street 2:
Mailing Address - City:LANDRUM
Mailing Address - State:SC
Mailing Address - Zip Code:29356-1727
Mailing Address - Country:US
Mailing Address - Phone:864-590-4454
Mailing Address - Fax:864-486-8170
Practice Address - Street 1:1000 E RUTHERFORD ST
Practice Address - Street 2:
Practice Address - City:LANDRUM
Practice Address - State:SC
Practice Address - Zip Code:29356-1727
Practice Address - Country:US
Practice Address - Phone:843-757-2828
Practice Address - Fax:843-757-0595
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3451122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCZX3451Medicaid