Provider Demographics
NPI:1477730950
Name:MCCARTHY, KAREN (DMD,MS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:DMD,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 SHERIDAN AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HO HO KUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07423-1572
Mailing Address - Country:US
Mailing Address - Phone:201-612-1322
Mailing Address - Fax:
Practice Address - Street 1:31 SHERIDAN AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:HO HO KUS
Practice Address - State:NJ
Practice Address - Zip Code:07423-1572
Practice Address - Country:US
Practice Address - Phone:201-612-1322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-27
Last Update Date:2008-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI 165011223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics