Gary W. McNeely, D.D.S.

Individual provider Active NPI General Practice Dentistry · Lenox, IA

NPI 1689809667 · NPPES record last updated May 20, 2009

Key facts

NPI
1689809667
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
08601 (IA)
Practice address
108 1/2 N. Main St.
Lenox, IA 50851-0126
Phone
(641) 536-2121
Fax
(641) 536-2121
NPI assigned
May 20, 2009
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
08601IAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 08601 IA Yes

Addresses

Primary practice location

108 1/2 N. Main St.
Lenox, IA 50851-0126

Mailing address

PO Box 126
Lenox, IA 50851-0126
Phone (641) 536-2121

Other providers in Lenox, IA

All providers in Lenox, IA · General Practice Dentistry in Iowa

Sources for this page

Verify at the official NPI Registry.