MEDICARE: DR. GARTH BLAIR MCCAFFREY 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	122300000X	Dentist	DN16993	FL
2	122300000X	Dentist	D009676	AZ

General Provider Information

NPI Number	:	1376780817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARTH BLAIR MCCAFFREY DDS

Provider Business Mailing Address
First Line	:	38840 N SPUR CROSS RD
Second Line	:
City	:	CAVE CREEK
State	:	AZ
Zip	:	85331-8505
Country	:	US
Telephone Number	:	239-682-2865
Fax Number	:

Provider Business Practice Location Address
First Line	:	10503 W THUNDERBIRD BLVD STE 371
Second Line	:
City	:	SUN CITY
State	:	AZ
Zip	:	85351-2721
Country	:	US
Telephone Number	:	239-682-2865
Fax Number	:

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

Provider Enumeration Date	:	01/20/2009
Last Update Date	:	01/18/2019

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