THOMAS PATRICK MCCUE IV DDS PC NPI 1609114487

NPI Information

NPI: 1609114487
Provider Name: THOMAS PATRICK MCCUE IV DDS PC
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Doing Business As: MCCUE DNTAL
Address: 20 BRIDGE ST
PULASKI, NY
ZIP 13142
Phone: (315) 779-2222

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NPI Details

THOMAS PATRICK MCCUE IV DDS PC is a general practice dentist in Pulaski, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. THOMAS PATRICK MCCUE IV DDS PC NPI is 1609114487. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mccue Dntal.

The provider's business location address is:

20 BRIDGE ST
PULASKI, NY
ZIP 13142-403
Phone: (315) 779-2222

The provider's authorized official is Thomas Patrick Mccue .
The authorized official title is Dentist and has the following contact phone number (315) 779-2222.

The enumeration date for this NPI number is 1/29/2013 and was last updated on 1/29/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	053972	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03085949	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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