Michael T Maccaro, d.m.d.
Dentist in South Daytona, FL. Individual provider (NPI-1).
NPI number1376947697
StatusActive
Last updated in NPPESOct 15, 2014
Details
- NPI
- 1376947697
- Entity type
- Individual (NPI-1)
- Name
- Michael T Maccaro
- Credential
- d.m.d.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 15, 2014
- Last updated
- Oct 15, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 6899 | FL | Yes |
Practice location
310 Bellewood AveSouth Daytona, FL 32119-2107
Phone 386-760-5511 · Fax 386-760-7848
Mailing address
310 Bellewood AveSouth Daytona, FL 32119-2107
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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