Michael E McKenzie Jr, DDS LLC

Dentist · Hannibal, MO

Organization Active NPI

NPI number 1467812297

Practice location

2903 Saint Marys Ave
Hannibal, MO 63401-3714
Phone
(573) 822-3107

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NPI record

NPI
1467812297
Entity type
Organization (Type 2)
Enumeration date
March 7, 2016
Last updated
March 7, 2016
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2015017896 MO

Authorized official

Name
Dr. Michael E McKenzie Jr., DDS
Title
Dentist
Phone
(573) 822-3107

About Michael E McKenzie Jr, DDS LLC

Michael E McKenzie Jr, DDS LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2903 Saint Marys Ave, Hannibal, MO 63401-3714. The NPI number 1467812297 was assigned on March 7, 2016 and the record was last updated on March 7, 2016.

Michael E McKenzie Jr, DDS LLC lists a license in the registry: #2015017896 (MO) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Michael E McKenzie Jr., DDS, Dentist.

Frequently asked questions

What is the NPI number of Michael E McKenzie Jr, DDS LLC?

The NPI number is 1467812297.

What is the phone number of Michael E McKenzie Jr, DDS LLC?

The phone number listed for the practice location is (573) 822-3107.

Where is Michael E McKenzie Jr, DDS LLC located?

2903 Saint Marys Ave, Hannibal, MO 63401-3714.

What is the taxonomy code for Michael E McKenzie Jr, DDS LLC?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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