McCue Dental Fulton PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

053972 Issued in NY

Legal business name

MCCUE DENTAL FULTON PC

Practice address

41 S 2ND St
Fulton, NY 13069-1724

Phone

(315) 779-2222

NPI assigned

Feb 2, 2017

Last updated

Feb 2, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas Patrick McCue IV, D.D.S

Title

General Dentist

Phone

(315) 779-2222

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1235677840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 S 2ND ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691724",
            "telephone_number": "315-779-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 S 2ND ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691724",
            "telephone_number": "315-779-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCUE DENTAL FULTON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "MCCUE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "315-779-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03085949",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Kyle Martin
• Carl Duane Mathew, LPN
• Robyn Elizabeth McCann, LPN
• Juliette Andrea McCauley, RPH
• Lindsay McCraith
• Stephanie Kathleen McEwen, LPN
• Kayla McIntyre
• Joseph P. McMahon, D.D.S.
• Daniel McManus
• Katherine E McPhee, NP

• General Practice Dentistry in Fulton, NY
• Providers in Fulton, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.