Provider Demographics
NPI:1932777042
Name:MCCARTHY, CAL (BDS)
Entity Type:Individual
Prefix:DR
First Name:CAL
Middle Name:
Last Name:MCCARTHY
Suffix:
Gender:M
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GABLES VILLA ROSA 2707 COLE AVENUE
Mailing Address - Street 2:#217
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204
Mailing Address - Country:US
Mailing Address - Phone:086-052-8117
Mailing Address - Fax:
Practice Address - Street 1:GABLES VILLA ROSA 2707 COLE AVENUE
Practice Address - Street 2:#217
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204
Practice Address - Country:US
Practice Address - Phone:086-052-8117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE