Dan Richard Mckinney in Clovis - Dentist

Dan Richard Mckinney - NPI 1073594214

Dan Richard Mckinney is a Dentist in Clovis, New Mexico. Dan Richard Mckinney practices all healthcare services and medical treatments related to Dentist. The NPI Number for Dan Richard Mckinney is 1073594214. The last update date is 2011-12-21.

Dan Richard Mckinney's current location address is 116 W 21st St, Clovis, New Mexico. You can contact this provider via phone number 5057634851 and fax number 5057690249. The mailing address for Dan Richard Mckinney is 116 W 21st St, Clovis, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Dan Richard Mckinney
Address 116 W 21st St, Clovis, New Mexico
Phone Number 5057634851
Fax Number 5057690249
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1073594214
Provider Enumeration Date 2005-11-07
Last Updated Date 2011-12-21

Provider Mailing Address Detail

Address 116 W 21st St
City Clovis
State New Mexico (NM)
Post Code 881014364
Phone Number 5057634851
Fax Number 5057690249

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DD822
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8419 NM --
85522 NM DORAL CONSULT EC

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FAQs about Dan Richard Mckinney

What is the unique identification code assigned to Dan Richard Mckinney by the Centers for Medicare & Medicaid Services?

The Dan Richard Mckinney has been issued the NPI (National Provider Identifier) 1073594214. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Dan Richard Mckinney located?

The Dan Richard Mckinney is located at 116 W 21St St, Clovis, NM 881014364.

What is the Dan Richard Mckinney's area of specialization and corresponding taxonomy classification?

The Dan Richard Mckinney's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.

When did Dan Richard Mckinney receive its 1073594214 assignment?

The Dan Richard Mckinney was assigned its 1073594214 on 2005-11-07, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Dan Richard Mckinney, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Dan Richard Mckinney, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-12-21.

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