Organization
MARCIE MCKINNEY D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCIE A MCKINNEY D.D.S. (DOCTOR)
(479) 494-7600
Entity
Organization
Contact information
Practice address
807 S 21ST ST, FORT SMITH, AR 72901-4003
(479) 494-7600
(479) 494-7603
Mailing address
807 S 21ST ST, FORT SMITH, AR 72901-4003
(479) 494-7600
(479) 494-7603
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
3303
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376637587
TYPE I NPI
AR
Enumeration date
06/01/2007
Last updated
08/22/2020
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