Provider Demographics
NPI:1881726362
Name:GEE, MARVIN RICHARD (DDS, MPH)
Entity type:Individual
Prefix:DR
First Name:MARVIN
Middle Name:RICHARD
Last Name:GEE
Suffix:
Gender:M
Credentials:DDS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19425 S DUNCAN RD
Mailing Address - Street 2:
Mailing Address - City:SPANGLE
Mailing Address - State:WA
Mailing Address - Zip Code:99031-9754
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19425 S DUNCAN RD
Practice Address - Street 2:
Practice Address - City:SPANGLE
Practice Address - State:WA
Practice Address - Zip Code:99031-9754
Practice Address - Country:US
Practice Address - Phone:509-245-3773
Practice Address - Fax:509-245-3774
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000061611223D0001X, 1223G0001X
WAGA10000254207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
No1223D0001XDental ProvidersDentistDental Public Health
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGA10000254OtherGEN. ANESTHESIA PERMIT
WA5029194Medicaid
WADE00006161OtherDENTAL LICENCE
WADE00006161OtherDENTAL LICENCE