MEDICARE: DR. PATRICK 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	1223G0001X	General Practice Dentistry	6361	LA

General Provider Information

NPI Number	:	1740626431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK MCGEE D.D.S.

Provider Business Mailing Address
First Line	:	2816 ARMAND ST
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201-3752
Country	:	US
Telephone Number	:	318-388-0828
Fax Number	:	318-388-3519

Provider Business Practice Location Address
First Line	:	2816 ARMAND ST
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201-3752
Country	:	US
Telephone Number	:	318-388-0828
Fax Number	:	318-388-3519

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

Provider Enumeration Date	:	05/21/2013
Last Update Date	:	02/01/2016

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