# MCKENNA DENTAL, LLC

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

## Provider details

- **NPI number:** 1871219493
- **Authorized official:** DR. JERRY JOSEPH MCKENNA DMD, MAGD (DENTIST)
- **Authorized official phone:** (610) 435-4192

## Contact information

- **Practice address:** 3002 W TILGHMAN ST, ALLENTOWN, PA 18104-4263
- **Practice address phone:** (610) 435-4192
- **Practice address fax:** (610) 435-4194
- **Mailing address:** 3002 W TILGHMAN ST, ALLENTOWN, PA 18104-4263
- **Mailing address phone:** (610) 435-4192
- **Mailing address fax:** (610) 435-4194

## Taxonomy

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

## Other

- **Enumeration date:** 10/14/2022
- **Last updated:** 10/14/2022