Provider Demographics
NPI:1992871016
Name:M ERIC MCRORY DDS PS
Entity type:Organization
Organization Name:M ERIC MCRORY DDS PS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:M
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:MCRORY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:360-676-1136
Mailing Address - Street 1:3031 ORLEANS ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-3557
Mailing Address - Country:US
Mailing Address - Phone:360-676-1138
Mailing Address - Fax:360-752-0507
Practice Address - Street 1:3031 ORLEANS ST
Practice Address - Street 2:SUITE 201
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-3557
Practice Address - Country:US
Practice Address - Phone:360-676-1138
Practice Address - Fax:360-752-0507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty