Provider Demographics
NPI:1386797314
Name:MAGEE, DAVID ALLEN (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALLEN
Last Name:MAGEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:DAVID
Other - Middle Name:ALLEN
Other - Last Name:MAGEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1520 CHERRY CREEK CV
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TN
Mailing Address - Zip Code:38340-1578
Mailing Address - Country:US
Mailing Address - Phone:731-989-2763
Mailing Address - Fax:731-989-2768
Practice Address - Street 1:1520 CHERRY CREEK CV
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:TN
Practice Address - Zip Code:38340-1578
Practice Address - Country:US
Practice Address - Phone:731-989-2763
Practice Address - Fax:731-989-2768
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-21
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS 45331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice