Provider Demographics
NPI:1508479221
Name:MCAFEE, MACKENZI (DDS)
Entity Type:Individual
Prefix:DR
First Name:MACKENZI
Middle Name:
Last Name:MCAFEE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4223 LEHIGH AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1934
Mailing Address - Country:US
Mailing Address - Phone:281-814-6343
Mailing Address - Fax:
Practice Address - Street 1:4665 SWEETWATER BLVD STE 450
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3155
Practice Address - Country:US
Practice Address - Phone:281-265-7645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX364861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice