Provider Demographics
NPI:1639217151
Name:OKEEFE, MARGARET ELIZABETH (DDS MSD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ELIZABETH
Last Name:OKEEFE
Suffix:
Gender:F
Credentials:DDS MSD
Other - Prefix:DR
Other - First Name:MARGARET
Other - Middle Name:EDWARD
Other - Last Name:OKEEFE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PC
Mailing Address - Street 1:552 THIRD STREET
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14301
Mailing Address - Country:US
Mailing Address - Phone:716-284-8477
Mailing Address - Fax:716-284-8588
Practice Address - Street 1:552 THIRD STREET
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14301
Practice Address - Country:US
Practice Address - Phone:716-284-8477
Practice Address - Fax:716-284-8588
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0445271223E0200X
FLDN135801223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01531479Medicaid