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NPI Code Detail

MEDICARE: THOMAS A MCKEE DDS PC

MEDICARE: THOMAS A MCKEE DDS PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist

General Provider Information

NPI Number : 1295893949
Entity Type Code : Organization
Provider Name (Legal Business Name) : THOMAS A MCKEE DDS PC
Provider Business Mailing Address
First Line : 5261 CHALLEDON DRIVE
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462
Country : US
Telephone Number : 757-499-2444
Fax Number : 757-497-7518
Provider Business Practice Location Address
First Line : 5261 CHALLEDON DRIVE
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462
Country : US
Telephone Number : 757-499-2444
Fax Number : 757-497-7518
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. LINDA JUDI ENTREKIN
Credential :
Telephone Number : 757-499-2444
Provider Enumeration Date : 12/05/2006
Last Update Date : 08/22/2020

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Directions to “THOMAS A MCKEE DDS PC ” Practice Location

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