Individual
GREGORY R MCGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3905 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7596
(208) 528-6000
(208) 528-6399
Mailing address
3905 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7596
(208) 528-6000
(208) 528-6399
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1545
WY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2698
NM
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D-4979-OS
ID
Other
Enumeration date
03/31/2006
Last updated
02/09/2021
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