Thomas Patrick McCue IV DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

053972 Issued in NY

Legal business name

THOMAS PATRICK MCCUE IV DDS PC

Doing business as

McCue Dntal

Practice address

20 Bridge St
Pulaski, NY 13142-4403

Phone

(315) 779-2222

NPI assigned

Jan 29, 2013

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, DDS

Title

Dentist

Phone

(315) 779-2222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• McCue Dntal Doing business as

Locations

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1609114487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BRIDGE ST",
            "city": "PULASKI",
            "state": "NY",
            "postal_code": "131424403",
            "telephone_number": "315-779-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BRIDGE ST",
            "city": "PULASKI",
            "state": "NY",
            "postal_code": "131424403",
            "telephone_number": "315-779-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS PATRICK MCCUE IV DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "MCCUE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "315-779-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DDS"
    },
    "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": [
        {
            "organization_name": "McCue Dntal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aubryn Stelmashuck, FNP
• Jay Frederick Sullivan, MD
• Marissa L Taber, RDH
• Samantha Taber
• Glenn F Thibault, MD
• Linda Kuhns Troia, PA, LCSW
• Walgreen Co (Walgreens #19496)
• Amy Waterman-Albrecht, MHC
• Betsy B Waterman, PHD
• Susan E Waterman, RPH

• General Practice Dentistry in Pulaski, NY
• Providers in Pulaski, 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 Jan 29, 2013; 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.