Provider Demographics
NPI:1962455089
Name:MCCALL & MCCALL , D.D.S., P.A.
Entity Type:Organization
Organization Name:MCCALL & MCCALL , D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:Y
Authorized Official - Last Name:LITCHFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-859-5839
Mailing Address - Street 1:60 PACOLET ST
Mailing Address - Street 2:
Mailing Address - City:TRYON
Mailing Address - State:NC
Mailing Address - Zip Code:28782-3363
Mailing Address - Country:US
Mailing Address - Phone:828-859-5839
Mailing Address - Fax:828-859-5502
Practice Address - Street 1:60 PACOLET ST
Practice Address - Street 2:
Practice Address - City:TRYON
Practice Address - State:NC
Practice Address - Zip Code:28782-3363
Practice Address - Country:US
Practice Address - Phone:828-859-5839
Practice Address - Fax:828-859-5502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC32051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty