Individual
JEFFREY D MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
46 RAVENNA ST, SUITE A6, HUDSON, OH 44236
(330) 650-0353
(330) 650-1259
Mailing address
46 RAVENNA ST, SUITE A6, HUDSON, OH 44236
(330) 650-0353
(330) 650-1259
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15287
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0327800
—
OH
Enumeration date
08/08/2006
Last updated
07/08/2007
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