Provider Demographics
NPI:1043442767
Name:DR. NEVILLE V MCKEN & ASSOCIATES
Entity Type:Organization
Organization Name:DR. NEVILLE V MCKEN & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NEVILLE
Authorized Official - Middle Name:V
Authorized Official - Last Name:MCKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-336-7535
Mailing Address - Street 1:9171 CENTRAL AVE
Mailing Address - Street 2:SUITE L9
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-3837
Mailing Address - Country:US
Mailing Address - Phone:301-336-7535
Mailing Address - Fax:301-336-6781
Practice Address - Street 1:9171 CENTRAL AVE
Practice Address - Street 2:SUITE L9
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-3837
Practice Address - Country:US
Practice Address - Phone:301-336-7535
Practice Address - Fax:301-336-6781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-13
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty