Healthcare Provider Details

I. General information

NPI: 1639634264
Provider Name (Legal Business Name): MEGAN E MCCARTHY DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2019
Last Update Date: 02/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1590 MEDICAL DR STE C
POTTSTOWN PA
19464-3247
US

IV. Provider business mailing address

1411 STATE RD
PHOENIXVILLE PA
19460-2434
US

V. Phone/Fax

Practice location:
  • Phone: 610-970-9422
  • Fax:
Mailing address:
  • Phone: 484-221-1253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDS042042
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: