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General NPI Number Information
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NPI Number | 1306068044
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Entity Type | Organization
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Legal Business Name | GARTH B. MCCAFFREY DDS PA
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8899 TIMBERWILDE DR STE 1
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-7896
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Country | US
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Telephone | 239-947-4222
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Fax | 239-947-7438
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Provider Business Mailing Address
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Address Line | 8899 TIMBERWILDE DR STE 1
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-7896
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Country | US
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Telephone | 239-947-4222
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Fax | 239-947-7438
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GARTH B MCCAFFREY
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Credential | DDS
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Telephone | 239-947-4222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 16993
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License Number State | FL
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