Provider Demographics
NPI:1598252405
Name:MCCARTY, MARIAN CHEN (DDS)
Entity Type:Individual
Prefix:
First Name:MARIAN
Middle Name:CHEN
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10120 GREENHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-4981
Mailing Address - Country:US
Mailing Address - Phone:832-237-4746
Mailing Address - Fax:
Practice Address - Street 1:10120 GREENHOUSE RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-4981
Practice Address - Country:US
Practice Address - Phone:832-237-4746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-16
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332971223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics