Cynthia Kathleen McCarty

Individual provider Active NPI Dental Hygienist · Eagle Point, OR

NPI 1740670868 · NPPES record last updated Jan 27, 2015

Key facts

NPI
1740670868
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
H4120 (OR)
Practice address
4 Morel CT
Eagle Point, OR 97524-9641
Phone
(541) 601-7497
Fax
(541) 879-1111
NPI assigned
Jan 27, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
H4120ORMDDental Hygienist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X H4120 OR Yes

Addresses

Primary practice location

4 Morel CT
Eagle Point, OR 97524-9641

Mailing address

4 Morel CT
Eagle Point, OR 97524-9641
Phone (541) 601-7497

Other providers in Eagle Point, OR

All providers in Eagle Point, OR · Dental Hygienist in Oregon

Sources for this page

Verify at the official NPI Registry.