Individual
DR. JOHN CHARLES MCCABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
483 W MIDDLE TPKE, STE-200, MANCHESTER, CT 06040
(860) 645-0111
Mailing address
56 GILBERT LN, SOUTH WINDSOR, CT 06074-3635
(860) 432-8464
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
009633
CT
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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