Provider Demographics
NPI:1336147578
Name:MCGINTY, EILEEN ANNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:ANNE
Last Name:MCGINTY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4260 S WADSWORTH BLVD
Mailing Address - Street 2:#100
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-1346
Mailing Address - Country:US
Mailing Address - Phone:303-988-4949
Mailing Address - Fax:303-951-3807
Practice Address - Street 1:4260 S WADSWORTH BLVD
Practice Address - Street 2:#100
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-1346
Practice Address - Country:US
Practice Address - Phone:303-988-4949
Practice Address - Fax:303-951-3807
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-12
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO69661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice