Provider Demographics
NPI:1326181215
Name:MCKEE, MICHAEL N (DMD MS PA)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:N
Last Name:MCKEE
Suffix:
Gender:M
Credentials:DMD MS PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 HIGHLAND OAKS DRIVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103
Mailing Address - Country:US
Mailing Address - Phone:336-765-5853
Mailing Address - Fax:336-765-5880
Practice Address - Street 1:725 HIGHLAND OAKS DRIVE
Practice Address - Street 2:SUITE 105
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103
Practice Address - Country:US
Practice Address - Phone:336-765-5853
Practice Address - Fax:336-765-5880
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC45721223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics