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Provider Information for 1265688873



DR. GORDON JAMES MCCARTHY D.D.S.

Gender: MALE

Individual NPI: 1265688873

Calendar Last Updated: 2008-08-14

Details

Name Value
NPI 1265688873
Enumeration Date 2008-08-14
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 405 2ND ST
MARIETTA, OH 45750-2150
United States

Phone: 740-373-6464 | Fax:
View Map External Link
Primary Practice Address 405 2ND ST
MARIETTA, OH 45750-2150
United States

Phone: 740-373-6464 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice OH 21904