NPI 1063602043

Timothy E McCabe, DDS

Practitioner General Practice Dentistry Gulfport, MS

Practice location

Address: 512 Cowan Rd, Gulfport, MS 39507-2023
Phone: (228) 896-7404
Fax: (228) 896-6048
Mailing address: 605 16th St, Gulfport, MS 39507-1302

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 1986-82 (MS)

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Registry record

NPI: 1063602043
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jul 2007
Record last updated: 18 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.