Jeffrey R. McKechnie, DMD, PC

Organization Active NPI General Practice Dentistry · Stowe, VT

NPI 1235236647 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1235236647
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
016-0000747 (VT)
Legal business name
JEFFREY R. MCKECHNIE, DMD, PC
Practice address
Corner of RT. 100 and RT. 108
Stowe, VT 05672
Phone
(802) 253-7932
Fax
(802) 253-6220
NPI assigned
Sep 20, 2006
Organization subpart
No

Authorized official

Name
Dr. Jeffrey R McKechnie, DMD
Title
President
Phone
(802) 253-7932

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 016-0000747 VT Yes

Addresses

Primary practice location

Corner of RT. 100 and RT. 108
Stowe, VT 05672

Mailing address

PO Box 1543
Stowe, VT 05672-1543
Phone (802) 253-7932

Other identifiers

IdentifierTypeStateIssuer
0002418MedicaidVT
1008782MedicaidVT

Other providers in Stowe, VT

All providers in Stowe, VT · General Practice Dentistry in Vermont

Sources for this page

Verify at the official NPI Registry.