Provider Demographics
NPI:1144300211
Name:MCGROGAN, RITA BETH (DMD)
Entity type:Individual
Prefix:DR
First Name:RITA
Middle Name:BETH
Last Name:MCGROGAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20300 ROUTE 19
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-6126
Mailing Address - Country:US
Mailing Address - Phone:724-776-6670
Mailing Address - Fax:724-776-6712
Practice Address - Street 1:20300 ROUTE 19
Practice Address - Street 2:
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-6126
Practice Address - Country:US
Practice Address - Phone:724-776-6670
Practice Address - Fax:724-776-6712
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS030100L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics