Provider Demographics
NPI:1396839254
Name:MCKEE FAMILY DENTISTRY
Entity Type:Organization
Organization Name:MCKEE FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DALE
Authorized Official - Middle Name:
Authorized Official - Last Name:FEICHTINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:970-669-1236
Mailing Address - Street 1:2998 GINNALA DRIVE
Mailing Address - Street 2:STE 101
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538
Mailing Address - Country:US
Mailing Address - Phone:970-669-1236
Mailing Address - Fax:
Practice Address - Street 1:2998 GINNALA DRIVE
Practice Address - Street 2:STE 101
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538
Practice Address - Country:US
Practice Address - Phone:970-669-1236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO80961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty