Provider Demographics
NPI:1013439223
Name:MCGARITY, PATRICK CARLISLE (DMD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:CARLISLE
Last Name:MCGARITY
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 1:332 OLD SOUTH RD
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:SC
Mailing Address - Zip Code:29334-9266
Mailing Address - Country:US
Mailing Address - Phone:864-542-5720
Mailing Address - Fax:
Practice Address - Street 1:1000 E RUTHERFORD ST
Practice Address - Street 2:
Practice Address - City:LANDRUM
Practice Address - State:SC
Practice Address - Zip Code:29356-1727
Practice Address - Country:US
Practice Address - Phone:864-457-4161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-10
Last Update Date:2017-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC89671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice