Provider Demographics
NPI:1912241035
Name:MCKEE, GEORGE ALFRED
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ALFRED
Last Name:MCKEE
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:GEORGE
Other - Middle Name:ALFRED
Other - Last Name:MCKEE
Other - Suffix:JR
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:AL MASA MALL, SHATTI QURUM, PO BOX 458 PC 133
Mailing Address - Street 2:
Mailing Address - City:MUSCAT
Mailing Address - State:MUSCAT
Mailing Address - Zip Code:133
Mailing Address - Country:OM
Mailing Address - Phone:0119689-914-9709
Mailing Address - Fax:
Practice Address - Street 1:AL MASA MALL, SHATTI QURUM, POB 458 PC 133
Practice Address - Street 2:
Practice Address - City:MUSCAT
Practice Address - State:MUSCAT
Practice Address - Zip Code:133
Practice Address - Country:OM
Practice Address - Phone:0119689-914-9709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28358122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist