Provider Demographics
NPI:1710112016
Name:MCBEE, JENNIFER HOKANSON (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:HOKANSON
Last Name:MCBEE
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 1:3041 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-3395
Mailing Address - Country:US
Mailing Address - Phone:304-599-8250
Mailing Address - Fax:
Practice Address - Street 1:3041 UNIVERSITY AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-3395
Practice Address - Country:US
Practice Address - Phone:304-599-8250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-15
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS030930L1223G0001X
WV34371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice