Provider Demographics
NPI:1578775680
Name:MCINTYRE, MARGARET M (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:M
Last Name:MCINTYRE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:MRS
Other - First Name:MARGARET
Other - Middle Name:M
Other - Last Name:ROSEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:31 MEADOWBROOK RD
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928
Mailing Address - Country:US
Mailing Address - Phone:973-635-9213
Mailing Address - Fax:
Practice Address - Street 1:421 ESSEX ST
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041
Practice Address - Country:US
Practice Address - Phone:973-467-4211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI150131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice