Provider Demographics
NPI:1649211384
Name:MCCAIN, JOSEPH P (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:P
Last Name:MCCAIN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8940 N. KENDALL DRIVE
Mailing Address - Street 2:604E
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-3930
Mailing Address - Country:US
Mailing Address - Phone:305-595-1905
Mailing Address - Fax:305-595-2219
Practice Address - Street 1:8940 N KENDALL DR
Practice Address - Street 2:604E
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2148
Practice Address - Country:US
Practice Address - Phone:305-595-1905
Practice Address - Fax:305-595-2219
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN74581223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT55293Medicare UPIN
FL86766Medicare ID - Type Unspecified