Provider Demographics
NPI:1861453649
Name:MCGINTY, JOHN PAUL JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PAUL
Last Name:MCGINTY
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 S TRADD ST
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28677-5863
Mailing Address - Country:US
Mailing Address - Phone:704-873-3281
Mailing Address - Fax:704-872-0231
Practice Address - Street 1:120 S TRADD ST
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-5863
Practice Address - Country:US
Practice Address - Phone:704-873-3281
Practice Address - Fax:704-872-0231
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC46671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice