Provider Demographics
NPI:1427053495
Name:MCGEE, DAVID O (DMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:O
Last Name:MCGEE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1355
Mailing Address - Street 2:
Mailing Address - City:TIFTON
Mailing Address - State:GA
Mailing Address - Zip Code:31793-1355
Mailing Address - Country:US
Mailing Address - Phone:229-386-2070
Mailing Address - Fax:229-382-2766
Practice Address - Street 1:806 CENTRAL AVE N
Practice Address - Street 2:
Practice Address - City:TIFTON
Practice Address - State:GA
Practice Address - Zip Code:31794-3966
Practice Address - Country:US
Practice Address - Phone:229-386-2070
Practice Address - Fax:229-382-2766
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0089961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice