Provider Demographics
NPI:1154541605
Name:MCKEE, MARK M (DDS)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:M
Last Name:MCKEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7094 MIRAMAR RD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-2311
Mailing Address - Country:US
Mailing Address - Phone:858-578-2211
Mailing Address - Fax:858-578-2841
Practice Address - Street 1:7094 MIRAMAR RD
Practice Address - Street 2:SUITE 112
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-2311
Practice Address - Country:US
Practice Address - Phone:858-578-2211
Practice Address - Fax:858-578-2841
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA0331251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice