Provider Demographics
NPI:1841641446
Name:JOSEPH G MCCARTIN DDS PC
Entity type:Organization
Organization Name:JOSEPH G MCCARTIN DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:G
Authorized Official - Last Name:MCCARTIN
Authorized Official - Suffix:SR
Authorized Official - Credentials:DDS
Authorized Official - Phone:773-238-2906
Mailing Address - Street 1:10401 S KEDZIE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60655-2000
Mailing Address - Country:US
Mailing Address - Phone:773-238-2906
Mailing Address - Fax:773-238-7885
Practice Address - Street 1:10401 S KEDZIE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60655-2000
Practice Address - Country:US
Practice Address - Phone:773-238-2906
Practice Address - Fax:773-238-7885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-24
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty