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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
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice OH 21904
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location