Michael Mckenzie, DDS

NPI #1598147795 in Hannibal, Missouri

Provider Information

NPI Number: 1598147795
Entity Type: Individual
Name: Michael Mckenzie, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 24, 2015
Last Updated: Feb 18, 2016

Practice Location

Address: 2903 SAINT MARYS AVE
City: Hannibal
State: Missouri
ZIP Code: 63401-3714
Phone: (573) 221-0440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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