MEDICARE: DR. ELIZABETH JUSTICE MCGEE D.D.S.

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
1	122300000X	Dentist	5068	NV
2	1223P0221X	Pediatric Dentistry	S6-98	NV

General Provider Information

NPI Number	:	1669517629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH JUSTICE MCGEE D.D.S.

Provider Business Mailing Address
First Line	:	PO BOX 371628
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89137-1628
Country	:	US
Telephone Number	:	702-423-5207
Fax Number	:

Provider Business Practice Location Address
First Line	:	8981 W SAHARA AVE
Second Line	:	#110
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5897
Country	:	US
Telephone Number	:	702-254-4220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	02/15/2010

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Directions to “ DR. ELIZABETH JUSTICE MCGEE D.D.S.” Practice Location

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