MEDICARE: ALMA F MCCARREN DDS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	21281	OH

General Provider Information

NPI Number	:	1376628743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALMA F MCCARREN DDS INC

Provider Business Mailing Address
First Line	:	120 W SECOND ST
Second Line	:	#1201
City	:	DAYTON
State	:	OH
Zip	:	45402
Country	:	US
Telephone Number	:	937-228-3714
Fax Number	:	937-228-1844

Provider Business Practice Location Address
First Line	:	120 W SECOND ST
Second Line	:	#1201
City	:	DAYTON
State	:	OH
Zip	:	45402
Country	:	US
Telephone Number	:	937-439-5381
Fax Number	:	937-228-1844

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALMA F MCCARREN
Credential	:	DDS
Telephone Number	:	937-228-3714

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	08/22/2020

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