Provider Demographics
NPI:1972113959
Name:PATRICIA MCGARRY
Entity Type:Organization
Organization Name:PATRICIA MCGARRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGARRY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:810-735-9426
Mailing Address - Street 1:200 LINDENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:MI
Mailing Address - Zip Code:48451-8941
Mailing Address - Country:US
Mailing Address - Phone:810-735-9426
Mailing Address - Fax:
Practice Address - Street 1:200 LINDENWOOD DR
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:MI
Practice Address - Zip Code:48451-8941
Practice Address - Country:US
Practice Address - Phone:810-735-9426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty