Individual
MARY MCCABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
874 PURCHASE ST, NEW BEDFORD, MA 02740-6232
(508) 992-6553
(508) 990-7558
Mailing address
874 PURCHASE ST, NEW BEDFORD, MA 02740-6232
(508) 992-6553
(508) 990-7558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18424
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201863
—
MA
01
—
24924
NEIGHBORHOOD HEALTH PLAN
MA
01
—
40375
HARVARD PILGRIM
MA
01
—
42675800
DELTA DENTAL
MA
01
—
8953-7
BCBSRIBLUECROSSDENTAL
MA
01
—
X08285
DENTAL BLUE BCBSMA
MA
Enumeration date
07/10/2006
Last updated
01/30/2008
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