Healthcare Provider Details

I. General information

NPI: 1033095021
Provider Name (Legal Business Name): ABIGAIL MARIE MCCARTER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 JEFFERSON ST
ROCHESTER IN
46975-1533
US

IV. Provider business mailing address

2325A WESTSIDE RD
ROCHESTER IN
46975-9777
US

V. Phone/Fax

Practice location:
  • Phone: 574-223-8288
  • Fax:
Mailing address:
  • Phone: 574-780-8434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number12015094A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: