MEDICARE: JEFFREY B. MCATEE, D.M.D., P.C.

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1720133770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFFREY B. MCATEE, D.M.D., P.C.

Provider Business Mailing Address
First Line	:	4509 S 6TH ST STE 209
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97603-4882
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4509 S 6TH ST STE 209
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97603-4882
Country	:	US
Telephone Number	:	541-884-8774
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	DEBBIE WEIGMAN
Credential	:
Telephone Number	:	541-884-8774

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	08/22/2020

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