Provider Demographics
NPI:1700990595
Name:MCGINTY, CHARLES C (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:C
Last Name:MCGINTY
Suffix:
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 1:2700 MC CLELLAND BLVD STE 308
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-1649
Mailing Address - Country:US
Mailing Address - Phone:417-781-6800
Mailing Address - Fax:417-623-8171
Practice Address - Street 1:2700 MC CLELLAND BLVD STE 308
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-1649
Practice Address - Country:US
Practice Address - Phone:417-781-6800
Practice Address - Fax:417-623-8171
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO126731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice