Provider Demographics
NPI:1437287547
Name:MCCABE, MARY BETH (DMD)
Entity type:Individual
Prefix:DR
First Name:MARY BETH
Middle Name:
Last Name:MCCABE
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 1:8 CHERRY TREE FARM RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-2238
Mailing Address - Country:US
Mailing Address - Phone:732-957-8285
Mailing Address - Fax:732-615-0457
Practice Address - Street 1:8 CHERRY TREE FARM RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-2238
Practice Address - Country:US
Practice Address - Phone:732-957-8285
Practice Address - Fax:732-615-0457
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJD10156321223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice