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Organization
MCKINNEY FAMILY DENTISTRY LLC
Active
Organization
MCKINNEY FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA DAWN MCKINNEY DMD (OWNER/DENTIST)
(606) 791-4153
Entity
Organization
Contact information
Practice address
JCT ROUTE 680 & HWY 122, MINNIE, KY 41651
(606) 377-0170
(606) 377-0179
Mailing address
PO BOX 60, MINNIE, KY 41651-0060
(606) 377-0170
(606) 377-0179
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295874147
NPI NUMBER
KY
01
—
8085
STATE LICENSE NUMBER
KY
Enumeration date
07/09/2020
Last updated
07/09/2020
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