# JEFFREY D MCKINLEY ETAL PTR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lodi Family Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225203334
- **Authorized official:** DR. JEFFREY D MCKINLEY (DENTIST)
- **Authorized official phone:** (330) 948-1655

## Contact information

- **Practice address:** 109 HARRIS ST, LODI, OH 44254-1308
- **Practice address phone:** (330) 948-1655
- **Mailing address:** 109 HARRIS ST, LODI, OH 44254-1308
- **Mailing address phone:** (330) 948-1655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/29/2008
- **Last updated:** 06/18/2008