Provider Demographics
NPI:1548353535
Name:MCATEE, JEFFREY BRIAN (DMD)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:BRIAN
Last Name:MCATEE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4509 S 6TH STREET
Mailing Address - Street 2:SUITE 209
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97603
Mailing Address - Country:US
Mailing Address - Phone:541-884-8774
Mailing Address - Fax:541-884-6570
Practice Address - Street 1:4509 S 6TH STREET
Practice Address - Street 2:SUITE 209
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97603
Practice Address - Country:US
Practice Address - Phone:541-884-8774
Practice Address - Fax:541-884-6570
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD6823122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist