Provider Demographics
NPI:1255615209
Name:JENNIFER H. MCBEE DDS PLLC
Entity type:Organization
Organization Name:JENNIFER H. MCBEE DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:HOKANSON
Authorized Official - Last Name:MCBEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:304-366-9241
Mailing Address - Street 1:1836 LOCUST AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-1286
Mailing Address - Country:US
Mailing Address - Phone:304-366-9241
Mailing Address - Fax:304-363-8219
Practice Address - Street 1:1836 LOCUST AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554-1286
Practice Address - Country:US
Practice Address - Phone:304-366-9241
Practice Address - Fax:304-363-8219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3437122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty