Provider Demographics
NPI:1417719287
Name:MCGEE, MARYANN SUSAN
Entity Type:Individual
Prefix:
First Name:MARYANN
Middle Name:SUSAN
Last Name:MCGEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-2766
Mailing Address - Country:US
Mailing Address - Phone:732-267-9451
Mailing Address - Fax:
Practice Address - Street 1:55 SUNSET DR
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-2766
Practice Address - Country:US
Practice Address - Phone:732-267-9451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ126800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant