Provider Demographics
NPI:1861415598
Name:KEE, MELVIN L (DDS)
Entity type:Individual
Prefix:DR
First Name:MELVIN
Middle Name:L
Last Name:KEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-1730
Mailing Address - Country:US
Mailing Address - Phone:631-261-3533
Mailing Address - Fax:631-261-3541
Practice Address - Street 1:253 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-1730
Practice Address - Country:US
Practice Address - Phone:631-261-3533
Practice Address - Fax:631-261-3541
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1129508901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice