MEDICARE: DR. MICHAEL J MCCARTHY DDS

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	1355	MT

General Provider Information

NPI Number	:	1134147440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL J MCCARTHY DDS

Provider Business Mailing Address
First Line	:	6033 SAM SNEAD TRL
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59106-1016
Country	:	US
Telephone Number	:	406-656-9334
Fax Number	:

Provider Business Practice Location Address
First Line	:	6033 SAM SNEAD TRL
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59106-1016
Country	:	US
Telephone Number	:	406-656-9334
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	09/15/2010

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