Provider Demographics
NPI:1356557367
Name:MCCAREL, DAN CHARLES (DDS)
Entity type:Individual
Prefix:DR
First Name:DAN
Middle Name:CHARLES
Last Name:MCCAREL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:665 ARDMORE AVE
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-1836
Mailing Address - Country:US
Mailing Address - Phone:610-649-3595
Mailing Address - Fax:610-644-7689
Practice Address - Street 1:665 ARDMORE AVE
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-1836
Practice Address - Country:US
Practice Address - Phone:610-649-3595
Practice Address - Fax:610-644-7689
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS- 019486-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice