Doctor Name: | DR. MARY CATHERINE MCENERY |
NPI Number: | 1326172677 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DMD |
License Number: | 7071 |
Business Practice Address: | 100 Cheyenne Ave. 70 Lame Deer, MT - 590430070 |
Business Phone Number: | 4064774464 |
Business Fax Number: | |
Mailing Address: | Po Box 70, 100 Cheyenne Ave. LAME DEER |
State: | MT |
Postal Code: | 590430070 |
Phone Number: | 4064774464 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 7071 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |