Tawanna Michelle McGhee, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

012157 Issued in GA

Practice address

21St Street
BLDG 2441
Fort Campbell, KY 42223-5369

Phone

(270) 798-8614

Fax

(270) 798-8633

NPI assigned

Feb 17, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Tawanna Michelle Thondique Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1396719019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21ST STREET",
            "address_2": "BLDG 2441",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235369",
            "telephone_number": "270-798-8614",
            "fax_number": "270-798-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21ST STREET",
            "address_2": "BLDG 2441",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235369",
            "telephone_number": "270-798-8614",
            "fax_number": "270-798-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGHEE",
        "first_name": "TAWANNA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "012157",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "8474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAWANNA",
            "last_name": "THONDIQUE",
            "middle_name": "MICHELLE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christopher Shane McDonald, LAT, ATC, PES
• Mark Newton McDonald, DMD
• John Lee McDonough, M.D.
• Carletta Lemonia McDowell, PSYCHOLOGIST
• Seth McDowell
• Shirley Fay McGowan, LPC
• Patricia W McGregor, RN
• Autumn Lea McHenry, BSN
• Amy Marie McIntosh, FNP
• Maria Roidan McKenzie, CNP

• Oral and Maxillofacial Surgery (Dentist) in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.