# MCQUINN FAMILY DENTISTRY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588890776
- **Authorized official:** KILEY MCQUINN (DR.)
- **Authorized official phone:** (765) 675-7595

## Contact information

- **Practice address:** 650 FAIRGROUNDS RD, TIPTON, IN 46072-8599
- **Practice address phone:** (765) 675-7595
- **Mailing address:** 1150 W 500 S, TIPTON, IN 46072-8455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7635 | IN | Yes |

## Other

- **Enumeration date:** 06/02/2009
- **Last updated:** 01/06/2020
