MEDICARE: DR. ARNIE D 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	4761	OK

General Provider Information

NPI Number	:	1558390146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARNIE D MCGEE D.D.S.

Provider Business Mailing Address
First Line	:	PO BOX 948
Second Line	:
City	:	GORE
State	:	OK
Zip	:	74435-0948
Country	:	US
Telephone Number	:	918-489-5155
Fax Number	:	918-489-5156

Provider Business Practice Location Address
First Line	:	HIGHWAY 10 AND WATER TOWER ROAD
Second Line	:
City	:	GORE
State	:	OK
Zip	:	74435
Country	:	US
Telephone Number	:	918-489-5155
Fax Number	:	918-489-5156

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

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	07/08/2007

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