MEDICARE: MCCASKEY ORTHODONTICS

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DS030547L	PA

General Provider Information

NPI Number	:	1528457264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCCASKEY ORTHODONTICS

Provider Business Mailing Address
First Line	:	218 W NORTH ST
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16001-5227
Country	:	US
Telephone Number	:	724-283-8900
Fax Number	:

Provider Business Practice Location Address
First Line	:	218 W NORTH ST
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16001-5227
Country	:	US
Telephone Number	:	724-283-8900
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	NANCY MCCASKEY
Credential	:
Telephone Number	:	724-283-8900

Provider Enumeration Date	:	01/19/2015
Last Update Date	:	01/19/2015

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Directions to “MCCASKEY ORTHODONTICS ” Practice Location

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