Organization
JEFFREY R. MCKECHNIE, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY R MCKECHNIE DMD (PRESIDENT)
(802) 253-7932
Entity
Organization
Contact information
Practice address
CORNER OF RT. 100 AND RT. 108, STOWE, VT 05672
(802) 253-7932
(802) 253-6220
Mailing address
PO BOX 1543, STOWE, VT 05672-1543
(802) 253-7932
(802) 253-6220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016-0000747
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002418
—
VT
05
—
1008782
—
VT
Enumeration date
09/20/2006
Last updated
08/22/2020
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