Provider Demographics
NPI:1386889434
Name:LEKECIA D MCGEE DDS AND TIARRA R RORIE DDS PA
Entity type:Organization
Organization Name:LEKECIA D MCGEE DDS AND TIARRA R RORIE DDS PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TIARRA
Authorized Official - Middle Name:R
Authorized Official - Last Name:RORIE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:336-625-1319
Mailing Address - Street 1:422 N CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-4702
Mailing Address - Country:US
Mailing Address - Phone:336-625-1319
Mailing Address - Fax:
Practice Address - Street 1:422 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-4702
Practice Address - Country:US
Practice Address - Phone:336-625-1319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC76301223G0001X
NC76501223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty