Individual
DR. NICHOLAS MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10010 DUPONT CIRCLE CT, FORT WAYNE, IN 46825-1626
(260) 490-9949
Mailing address
409 BROADWAY ST APT E, NEW HAVEN, IN 46774-1186
(260) 739-8886
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014100A
IN
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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