National Provider Identifier Database

MCCORMACK DENTAL IMAGING
Dental Laboratory

A commercial laboratory specializing in the construction of dental appliances that conform to a dentist?s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.


Contact Information

MCCORMACK DENTAL IMAGING
317 N EL CAMINO REAL
STE. 301
ENCINITAS, CA92024-2811
Phone: 760-942-2133
Fax:
Website:
Specialty Taxonomy Code
* Dental Laboratory 292200000X

* Indicates primary specialty

NPI Profile & details for MCCORMACK DENTAL IMAGING

NPI Number 1104286996
Legal business name
LBN
MCCORMACK DENTAL IMAGING
Authorized official JEROME PECK - (CEO)
Entity Organization
Organization subpart No
Enumeration date 03/07/2016
Last updated 03/07/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: RHP00053519

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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