Provider Demographics
NPI:1073732343
Name:ARTHUR P. MCCANN, DDS, PLLC
Entity Type:Organization
Organization Name:ARTHUR P. MCCANN, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:P
Authorized Official - Last Name:MCCANN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:315-451-8602
Mailing Address - Street 1:4881 W TAFT RD
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13088-4819
Mailing Address - Country:US
Mailing Address - Phone:315-451-8602
Mailing Address - Fax:315-461-8760
Practice Address - Street 1:4881 W TAFT RD
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13088-4819
Practice Address - Country:US
Practice Address - Phone:315-451-8602
Practice Address - Fax:315-461-8760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty