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NPI Code Detail

MEDICARE: DR. EDWARD MICHAEL MCKRILL DMD

MEDICARE:  DR. EDWARD MICHAEL MCKRILL  DMD
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 Dentistry486AK

General Provider Information

NPI Number : 1861499212
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD MICHAEL MCKRILL DMD
Provider Business Mailing Address
First Line : 9191 LEE SMITH DR
Second Line :
City : JUNEAU
State : AK
Zip : 99801-8017
Country : US
Telephone Number : 907-789-2135
Fax Number :
Provider Business Practice Location Address
First Line : 9191 LEE SMITH DR
Second Line :
City : JUNEAU
State : AK
Zip : 99801-8017
Country : US
Telephone Number : 907-789-2135
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 07/08/2007

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Directions to “ DR. EDWARD MICHAEL MCKRILL DMD” Practice Location

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