npidexNPI registry + Medicare data

CHARLES MCCORMICK, DDS

Dentist · SPRINGBORO, OH

Individual Active Opted out of Medicare NPI 1104957505

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Dentist122300000X✓13132OH

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2015-09-23 through 2027-09-23.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.