McCarl Dental Group PC

Primary specialty

DentistTaxonomy code 122300000X

License

10419 Issued in MD

Legal business name

MCCARL DENTAL GROUP PC

Practice address

8601 Veterans Highway
Suite 101
Millersville, MD 21108

Phone

(410) 987-8800

Fax

(410) 987-6969

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Clayton S McCarl Jr., DDS

Title

Owner Partner

Phone

(410) 987-8800

Specialties & licenses 3

Addresses

Other names 1

• McCarl Dental Group - Shipleys Choice Other name

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528126331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 VETERANS HIGHWAY",
            "address_2": "SUITE 101",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "21108",
            "telephone_number": "410-987-8800",
            "fax_number": "410-987-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 VETERANS HIGHWAY",
            "address_2": "SUITE 101",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "21108",
            "telephone_number": "410-987-8800",
            "fax_number": "410-987-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCARL DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCARL",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "410-987-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "8452",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "8476",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "10419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCarl Dental Group - Shipleys Choice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dentist in Millersville, MD
• Providers in Millersville, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.