Provider Demographics
NPI:1417171653
Name:MCGEE, DONALD RALPH (DMD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:RALPH
Last Name:MCGEE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:494 E ILLIANA ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-5415
Mailing Address - Country:US
Mailing Address - Phone:407-843-0295
Mailing Address - Fax:407-425-0456
Practice Address - Street 1:494 E ILLIANA ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-5415
Practice Address - Country:US
Practice Address - Phone:407-843-0295
Practice Address - Fax:407-425-0456
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 10951122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist