MEDICARE: DR. LANDON MCGARY

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	1223G0001X	General Practice Dentistry	7204	OH

General Provider Information

NPI Number	:	1871766527
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. LANDON MCGARY

Provider Business Mailing Address
First Line	:	PO BOX 1900
Second Line	:
City	:	MAGGIE VALLEY
State	:	NC
Zip	:	28751-1900
Country	:	US
Telephone Number	:	828-926-0054
Fax Number	:	828-926-3080

Provider Business Practice Location Address
First Line	:	2503 SOCO RD
Second Line	:
City	:	MAGGIE VALLEY
State	:	NC
Zip	:	28751
Country	:	US
Telephone Number	:	828-926-0054
Fax Number	:	828-926-3080

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LANDON D MCGARY
Credential	:	DDS
Telephone Number	:	828-926-0054

Provider Enumeration Date	:	04/02/2008
Last Update Date	:	04/02/2008

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