DR. Gerald D Mackey, DDS

NPI #1265696710 in Gurnee, Illinois

Provider Information

NPI Number: 1265696710
Entity Type: Individual
Name: DR. Gerald D Mackey, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 14, 2008
Last Updated: Jul 14, 2008

Practice Location

Address: 4165 OLD GRAND AVE
Address 2: 2
City: Gurnee
State: Illinois
ZIP Code: 60031-2774
Phone: (847) 662-8388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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