Provider Demographics
NPI:1952752693
Name:DAVID M. MCCARTY, DMD PC
Entity Type:Organization
Organization Name:DAVID M. MCCARTY, DMD PC
Other - Org Name:MCCARTY ENDODONTICS
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:G
Authorized Official - Last Name:SCHRANER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-344-8190
Mailing Address - Street 1:13710 STRUTHERS RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-2467
Mailing Address - Country:US
Mailing Address - Phone:719-344-8190
Mailing Address - Fax:719-358-6157
Practice Address - Street 1:13710 STRUTHERS RD
Practice Address - Street 2:SUITE 200
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-2467
Practice Address - Country:US
Practice Address - Phone:719-344-8190
Practice Address - Fax:719-358-6157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO96511223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty