Provider Demographics
NPI:1194051128
Name:DENNIS N. MCAFEE, D.D.S., P. L.L.C.
Entity type:Organization
Organization Name:DENNIS N. MCAFEE, D.D.S., P. L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:N
Authorized Official - Last Name:MCAFEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:903-758-3700
Mailing Address - Street 1:2904 N 4TH ST STE 106
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-5129
Mailing Address - Country:US
Mailing Address - Phone:903-758-3700
Mailing Address - Fax:903-234-8658
Practice Address - Street 1:2904 N 4TH ST STE 106
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-5129
Practice Address - Country:US
Practice Address - Phone:903-758-3700
Practice Address - Fax:903-234-8658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty