Individual
DR. MICHAEL J MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DMD
Contact information
Practice address
85 COUNTRYSIDE LANE #8, ORCHARD PARK, NY 14127
(702) 249-3555
Mailing address
85 COUNTRYSIDE LANE #8, ORCHARD PARK, NY 14127
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6567
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2008
Last updated
04/28/2016
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