Organization
MCKINNEY ORAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MCKINNEY DMD (ORAL SURGEON)
(706) 831-4706
Entity
Organization
Contact information
Practice address
3001 BUSHY PARK RD, MONCKS CORNER, SC 29461-6480
(706) 831-4706
Mailing address
1318 N MAIN ST # 1473, SUMMERVILLE, SC 29483-7308
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
04/05/2025
Last updated
04/05/2025
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