Provider Demographics
NPI:1851581367
Name:EDWARD W. MCCARTHY, DMD LLC
Entity Type:Organization
Organization Name:EDWARD W. MCCARTHY, DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:W
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-367-8877
Mailing Address - Street 1:9370 MCKNIGHT RD
Mailing Address - Street 2:405 ARCADIA COURT
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5953
Mailing Address - Country:US
Mailing Address - Phone:412-367-8877
Mailing Address - Fax:412-369-9343
Practice Address - Street 1:9370 MCKNIGHT RD
Practice Address - Street 2:405 ARCADIA COURT
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5953
Practice Address - Country:US
Practice Address - Phone:412-367-8877
Practice Address - Fax:412-369-9343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS17793-L1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT29722Medicare UPIN
PA098746Medicare PIN