Provider Demographics
NPI:1992906994
Name:JAMES M. MCGEE, D.M.D., P.C.
Entity type:Organization
Organization Name:JAMES M. MCGEE, D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:770-879-4510
Mailing Address - Street 1:2120 ROCKBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30087-3514
Mailing Address - Country:US
Mailing Address - Phone:770-879-4510
Mailing Address - Fax:770-879-4512
Practice Address - Street 1:2120 ROCKBRIDGE RD
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087-3514
Practice Address - Country:US
Practice Address - Phone:770-879-4510
Practice Address - Fax:770-879-4512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0117401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA613820087AMedicaid
GA613820087CMedicaid
GA955225OtherUCCI NUMBER