Provider Demographics
NPI:1407022437
Name:MCENTEE, KERRY M (DMD, MD)
Entity Type:Individual
Prefix:DR
First Name:KERRY
Middle Name:M
Last Name:MCENTEE
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Gender:F
Credentials:DMD, MD
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Mailing Address - Street 1:77 QUAKER RIDGE ROAD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804
Mailing Address - Country:US
Mailing Address - Phone:914-235-1235
Mailing Address - Fax:914-235-0794
Practice Address - Street 1:77 QUAKER RIDGE ROAD
Practice Address - Street 2:SUITE 212
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804
Practice Address - Country:US
Practice Address - Phone:914-235-1235
Practice Address - Fax:914-235-0794
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2016-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY50-0504291223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery