Provider Demographics
NPI:1427028943
Name:MCGROARTY, PATRICK EDWARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:EDWARD
Last Name:MCGROARTY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 836 BOX 57
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09636-0057
Mailing Address - Country:US
Mailing Address - Phone:0113909-556-4111
Mailing Address - Fax:
Practice Address - Street 1:NAVAL HOSPITAL SIGONELLA, ITALY
Practice Address - Street 2:PSC 836
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09636
Practice Address - Country:US
Practice Address - Phone:0113909-556-4111
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010076981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0401007698OtherSTATE DENTAL LICENSE