Provider Demographics
NPI:1306436472
Name:MCCARTNEY, TROY EDWARD (DMD)
Entity type:Individual
Prefix:DR
First Name:TROY
Middle Name:EDWARD
Last Name:MCCARTNEY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 BLUE HERON CT
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-9595
Mailing Address - Country:US
Mailing Address - Phone:856-669-1358
Mailing Address - Fax:
Practice Address - Street 1:2210 SHETLAND DR
Practice Address - Street 2:
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-2153
Practice Address - Country:US
Practice Address - Phone:833-543-7678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-22
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS044437122300000X, 1223X0400X
NJ22DI02885000122300000X, 1223X0400X
NV74821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice