Provider Demographics
NPI:1578677399
Name:MCGEE, BURTON HARRY (DDS)
Entity Type:Individual
Prefix:DR
First Name:BURTON
Middle Name:HARRY
Last Name:MCGEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 S CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-6196
Mailing Address - Country:US
Mailing Address - Phone:256-766-5776
Mailing Address - Fax:256-766-3552
Practice Address - Street 1:412 S CEDAR ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-6196
Practice Address - Country:US
Practice Address - Phone:256-766-5776
Practice Address - Fax:256-766-3552
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL32651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-91483OtherBLUE CROSS BLUE SHIELD