MEDICARE: DAVID M. MCCARTY, DMD PC

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	1223E0200X	Endodontics	9651	CO

General Provider Information

NPI Number	:	1952752693
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID M. MCCARTY, DMD PC

Provider Business Mailing Address
First Line	:	13710 STRUTHERS RD
Second Line	:	SUITE 200
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80921-2467
Country	:	US
Telephone Number	:	719-344-8190
Fax Number	:	719-358-6157

Provider Business Practice Location Address
First Line	:	13710 STRUTHERS RD
Second Line	:	SUITE 200
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80921-2467
Country	:	US
Telephone Number	:	719-344-8190
Fax Number	:	719-358-6157

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. MARSHA G SCHRANER
Credential	:
Telephone Number	:	719-344-8190

Provider Enumeration Date	:	06/23/2016
Last Update Date	:	06/23/2016

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