Provider Demographics
NPI:1518936830
Name:TERRENCE F MCCARTHY DDS INC
Entity Type:Organization
Organization Name:TERRENCE F MCCARTHY DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:TERRENCE
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-995-5954
Mailing Address - Street 1:9191 BLOOMFIELD STREET
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-2402
Mailing Address - Country:US
Mailing Address - Phone:714-995-5954
Mailing Address - Fax:714-995-2250
Practice Address - Street 1:9191 BLOOMFIELD STREET
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-2402
Practice Address - Country:US
Practice Address - Phone:714-995-5954
Practice Address - Fax:714-995-2250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-17
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20908122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty