Provider Demographics
NPI:1669517629
Name:MCGEE, ELIZABETH JUSTICE (DDS)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:JUSTICE
Last Name:MCGEE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 371628
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89137-1628
Mailing Address - Country:US
Mailing Address - Phone:702-423-5207
Mailing Address - Fax:
Practice Address - Street 1:8981 W SAHARA AVE
Practice Address - Street 2:#110
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-5897
Practice Address - Country:US
Practice Address - Phone:702-254-4220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2010-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5068122300000X
NVS6-981223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist