Provider Demographics
NPI:1831467190
Name:MCKEE DENTAL
Entity Type:Organization
Organization Name:MCKEE DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MYRON
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:BIDDLE
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:814-695-1801
Mailing Address - Street 1:127 DEVECCHIS ST
Mailing Address - Street 2:
Mailing Address - City:EAST FREEDOM
Mailing Address - State:PA
Mailing Address - Zip Code:16637-8046
Mailing Address - Country:US
Mailing Address - Phone:814-695-1801
Mailing Address - Fax:
Practice Address - Street 1:127 DEVECCHIS ST
Practice Address - Street 2:
Practice Address - City:EAST FREEDOM
Practice Address - State:PA
Practice Address - Zip Code:16637-8046
Practice Address - Country:US
Practice Address - Phone:814-695-1801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty