Individual
DR. JESSE MIKE MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3481 POPLAR AVE, MEMPHIS, TN 38111-4654
(901) 320-9301
Mailing address
3481 POPLAR AVE, MEMPHIS, TN 38111-4654
(901) 320-9301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11799
TN
1223G0001X
General Practice Dentistry
33143
TX
Other
Enumeration date
06/18/2017
Last updated
09/15/2025
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