Provider Demographics
NPI:1871766527
Name:DR. LANDON MCGARY
Entity type:Organization
Organization Name:DR. LANDON MCGARY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LANDON
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCGARY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:828-926-0054
Mailing Address - Street 1:PO BOX 1900
Mailing Address - Street 2:
Mailing Address - City:MAGGIE VALLEY
Mailing Address - State:NC
Mailing Address - Zip Code:28751-1900
Mailing Address - Country:US
Mailing Address - Phone:828-926-0054
Mailing Address - Fax:828-926-3080
Practice Address - Street 1:2503 SOCO RD
Practice Address - Street 2:
Practice Address - City:MAGGIE VALLEY
Practice Address - State:NC
Practice Address - Zip Code:28751
Practice Address - Country:US
Practice Address - Phone:828-926-0054
Practice Address - Fax:828-926-3080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH72041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty