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NPI Code Detail

MEDICARE: DR. DANIEL J MCKAY DDS

MEDICARE: DR. DANIEL J MCKAY DDS
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
11223G0001XGeneral Practice Dentistry7154WA

General Provider Information

NPI Number : 1619953759
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL J MCKAY DDS
Provider Business Mailing Address
First Line : 901 BOREN AVE
Second Line : SUITE # 1940
City : SEATTLE
State : WA
Zip : 98104-3595
Country : US
Telephone Number : 206-381-3055
Fax Number : 206-381-3054
Provider Business Practice Location Address
First Line : 901 BOREN AVE
Second Line : SUITE #1940
City : SEATTLE
State : WA
Zip : 98104-3595
Country : US
Telephone Number : 206-381-3055
Fax Number : 206-381-3054
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2005
Last Update Date : 05/04/2009

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