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Dr. Kevin Gerald Mccoy, DDS
Pediatric Dentist in Lake Stevens, Washington
NPI 1619241742

Kevin Gerald Mccoy is a Pediatric Dentist based in Lake Stevens, WA and is specialized in Pediatric Dentistry. Kevin Gerald Mccoy practices in Lake Stevens, WA and has the professional credentials of DDS. The NPI Number for Kevin Gerald Mccoy is 1619241742 and holds a License No. DE60291991 (Washington).

The current practice location address for Kevin Gerald Mccoy is 22 95Th Dr Ne, Lake Stevens, WA and can be reached out via phone at 425-512-9887.

Location: 22 95Th Dr Ne, Lake Stevens, WA, 98258-7975
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619241742
Provider Name
Kevin Gerald Mccoy
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
22 95Th Dr Ne, Lake Stevens, WA, 98258-7975
Phone Number
425-512-9887
Fax Number
Provider Enumeration Date
03/07/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
22 95Th Dr Ne
City
Lake Stevens
State
Washington
Zip
98258-7975
Phone Number
425-512-9887
Fax Number
person
Provider Business Mailing Address Details
Address
22 95Th Dr Ne
City
Lake Stevens
State
Washington
Zip
98258-7975
Phone Number
425-512-9887
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DE60291991 (Washington)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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