Organization
MCCABE ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL MCCABE D.D.S. (PRESIDENT)
(812) 376-9425
Entity
Organization
Contact information
Practice address
3142 N NATIONAL RD, COLUMBUS, IN 47201-3169
(812) 376-9425
(812) 376-9428
Mailing address
3142 N NATIONAL RD, COLUMBUS, IN 47201-3169
(812) 376-9425
(812) 376-9428
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12009978
IN
Other
Enumeration date
03/06/2007
Last updated
03/06/2008
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