Provider Demographics
NPI:1861500639
Name:MCKEEVER, DARREN A (DMD MAGD)
Entity type:Individual
Prefix:DR
First Name:DARREN
Middle Name:A
Last Name:MCKEEVER
Suffix:
Gender:M
Credentials:DMD MAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 STATE HIGHWAY ROUTE 23 S
Mailing Address - Street 2:STE 9
Mailing Address - City:POMPTON PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07444-1047
Mailing Address - Country:US
Mailing Address - Phone:973-839-8180
Mailing Address - Fax:973-839-2055
Practice Address - Street 1:933 STATE HIGHWAY ROUTE 23 S
Practice Address - Street 2:STE 9
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444-1047
Practice Address - Country:US
Practice Address - Phone:973-839-8180
Practice Address - Fax:973-839-2055
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0164161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice